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Contact Information

DEREK HARPER, DPM
260 E 5TH ST N
BURLEY, ID83318
 Phone: 208-678-9760
 Fax: 208-678-9758
 Website: https://minidokamemorial.org/podiatry/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DEREK HARPER · (Male)

NPI Number 1851723332
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/06/2013
Last updated 02/28/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CO License # POD.0000781
  • ID License # 7861478
  • NM License # T1344
  • CO Other POD.0000781 COLORADO LICENSE
  • ID Other 7861478 IDAHO PODIATRY LICENSE
  • NM Other T-1344 NEW MEXICO TEMPORARY LICENSE
Hospital affiliation(s)
  • MEMORIAL HOSPITAL THE - (Critical Access)
    750 HOSPITAL LOOP
    CRAIG, CO 81625
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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