NPI 1740856848

Derrick Jerome Showalter

Practitioner Driver Princeton, WV

Practice location

Address: 1122 Mercer St, Princeton, WV 24740-3030
Phone: (304) 800-0544

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence F341538 (WV)

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Registry record

NPI: 1740856848
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 May 2021
Record last updated: 28 May 2021

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.