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Contact Information

EDWARD J DERRICK, MD
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO63110-1016
 Phone: 314-362-7200
 Fax: 314-747-4189
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for EDWARD J DERRICK · (Male)

NPI # 1285078154
Status Active
Credentials MD
Entity Individual
Enumeration date 04/23/2013
Last updated 08/24/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2018006395
  • OH License # 35.137034
Hospital affiliation(s)
  • BERT FISH MEDICAL CENTER - (Acute Care)
    401 PALMETTO ST
    NEW SMYRNA BEACH, FL 32170
  • FLORIDA HOSPITAL - (Acute Care)
    601 E ROLLINS ST
    ORLANDO, FL 32803
  • FLORIDA HOSPITAL FISH MEMORIAL - (Acute Care)
    1055 SAXON BLVD
    ORANGE CITY, FL 32763
  • FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER - (Acute Care)
    301 MEMORIAL MEDICAL PARKWAY
    DAYTONA BEACH, FL 32117
  • FLORIDA HOSPITAL WATERMAN - (Acute Care)
    1000 WATERMAN WAY
    TAVARES, FL 32778
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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