Jose J. Derdoy, Md, Llc

LBN: Jose J. Derdoy, Md, Llc
Jose J. Derdoy, Md, Llc is an health care organization with primary practice located at 845 N New Ballas Ct Ste 330 , Creve Coeur MO 63141-7169. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as the primary health care specialty. Jose J. Derdoy, Md, Llc can be contacted via phone (314) 744-9078, or through Derdoy, Jose J via phone (314) 744-9078.

Contact Information

Primary practice address
845 N New Ballas Ct Ste 330 Creve Coeur MO 63141-7169
Phone: (314) 744-9078
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Derdoy, Jose J Doctor of Medicine (MD)
Phone: (314) 744-9078

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X

Profile Details

NPI number 1003383258
LBN Legal business name Jose J. Derdoy, Md, Llc
DBA Doing business as
Authorized official Derdoy, Jose J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2018
Last updated Jun 11th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003383258 NPPES
Other 000000000 DONT HAVE SUCH NUMBER

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