Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD DERBY, MD
ActiveDR. RICHARD DERBY, MD is a Sports Medicine healthcare provider located in O FALLON, Illinois. NPI 1295720845 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · O FALLON, IL
Registration Details
- NPI Number
- 1295720845
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2005 (20.854748105142 yrs)
- Last Updated
- Dec 29, 2021
- License
-
036126121 (IL)
Practice Information
- Address
-
670 PIERCE BLVDO FALLON, IL, 622692579Browse IL providers · Browse ZIP 62269
- Phone
- 6182062094
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in O FALLON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. AHMED A. RADWAN | M.D. | 1376575126 |
| NELSON EUGENE SHREVE | MD | 1720541527 |
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.