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Contact Information

JUSTIN D DERGES, DO
3801 S NATIONAL AVE
SPRINGFIELD, MO65807-5210
 Phone: 417-269-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JUSTIN D DERGES · (Male)

NPI Number 1265937734
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/27/2018
Last updated 10/05/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2022026075
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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