Jose J. Derdoy, Md, Llc
Pediatric Gastroenterology
Jose J. Derdoy, Md, Llc is a Creve Coeur, Missouri based Pediatric center with medical specialization in
Pediatric Gastroenterology.
It is located at
845 N New Ballas Ct Ste 330, Creve Coeur, Missouri - 63141-7169. They can be contacted on phone at
314-744-9078.
NPI number (Unique professional ID) for Jose J. Derdoy, Md, Llc is
1003383258 which was assigned by NPPES on 25 Oct, 2018 and it was last updated on 11 Jun, 2019.
Jose J. Derdoy, Md, Llc specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Jose J. Derdoy, Md, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Jose J. Derdoy, Md, Llc |
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Business Address:
Jose J. Derdoy, Md, Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 845 N New Ballas Ct Ste 330
Creve Coeur, MO, 63141-7169
United States |
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| Phone Number : | 314-744-9078 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003383258 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 25 Oct, 2018 |
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| Last Updated On : | 11 Jun, 2019 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Josej Derdoy |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER/PRESIDENT |
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| Phone Number : | 314-744-9078 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jose J. Derdoy, Md, Llc are as mentioned. Primary taxonomy code for Jose J. Derdoy, Md, Llc is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Jose J. Derdoy, Md, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000000 | Other | | DONT HAVE SUCH NUMBER |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 845 N New Ballas Ct Ste 330
Creve Coeur, MO, 63141-7169
United States |
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| Phone Number : | 314-744-9078 |
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Business Location:
Patients can refer following map for directions to
Jose J. Derdoy, Md, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.