NPI 1083877518

Derric A. Whiteside, DO

Practitioner Internal Medicine Physician Nellis Afb, NV

Practice location

Address: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600
Phone: (702) 653-2273

Registered specialties (2)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 0102203353 (VA)

Other Internal Medicine providers in Nevada →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 02003810A (IN)

Registry record

NPI: 1083877518
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2008
Record last updated: 25 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.