NPI 1205949013

John Gayle van Derwood, MD

Practitioner Family Medicine Physician Daphne, AL

Practice location

Address: 7101 US Highway 90 Suite 202, Daphne, AL 36526-9512
Phone: (251) 625-8211
Fax: (251) 625-8219

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 11539 (AL)

Other Family Medicine providers in Alabama →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 14230 (MS)

Registry record

NPI: 1205949013
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2006
Record last updated: 20 Dec 2014

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.