Derrik Abell Valid NPI

Individual provider · Physician Assistant · Anna, IL

NPI

1821618471

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

085.007900 (IL)

Sex

Male

Sole proprietor

Yes

Enumerated

2020-04-23

Last updated

2023-06-21