NPI 1184815730

Derek R Libby, DO

Practitioner Addiction Medicine (Preventive Medicine) Physician Portland, ME

Practice location

Address: 97a Exchange St Suite 201, Portland, ME 04101-5016
Phone: (207) 773-3335
Fax: (207) 774-4788

Registered specialties (2)

Addiction Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083A0300X Licence DO1967 (ME)

Other Preventive Medicine providers in Maine →

Neuromusculoskeletal Medicine & OMM Physician

Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 1967 (ME)

Other Neuromusculoskeletal Medicine & OMM providers in Maine →

Registry record

NPI: 1184815730
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Aug 2007
Record last updated: 23 Sep 2022

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.