Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEREC STANISLAV, DO
ActiveDR. DEREC STANISLAV, DO is a Orthopaedic Surgery healthcare provider located in BLUE SPRINGS, Missouri. NPI 1295220689 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · BLUE SPRINGS, MO
Registration Details
- NPI Number
- 1295220689
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2018 (8.1371715514007 yrs)
- Last Updated
- Jun 27, 2018
- License
-
2018021972 (MO)
Practice Information
- Address
-
201 NW RD MIZE ROADBLUE SPRINGS, MO, 64014Browse MO providers · Browse ZIP 64014
- Phone
- 8166555426
- Fax
- 8166555408
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
Other Orthopaedic Surgery Providers in BLUE SPRINGS, MO
| Name | Credential | NPI |
|---|---|---|
| KEVIN ANDREW WITTE | D.O. | 1760628093 |
| DR. MATTHEW THOMAS CULLEN | D.O. | 1992105670 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.