Dr EDWARD J DERRICK is a male medical professional, specializing in Diagnostic Radiology. He graduated in 2013.
WASHINGTON UNIVERSITY
510 S KINGSHIGHWAY BLVD
SAINT LOUIS
MO
631101016
Tel: 31436272001
| Npi | 1285078154 |
| Pac Id | 2769611540 |
| Professional Enrollment Id | I20180517000919 |
| Last Name | DERRICK |
| First Name | EDWARD |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2013 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | WASHINGTON UNIVERSITY |
| Group Practice Pac Id | 9830008770 |
| Number Of Group Practice Members | 2035 |
| Line 1 Street Address | 510 S KINGSHIGHWAY BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 631101016 |
| Phone Number | 31436272001 |
| Hospital Affiliation Ccn 1 | 260032 |
| Hospital Affiliation Lbn 1 | BARNES JEWISH HOSPITAL |
| Hospital Affiliation Ccn 2 | 260162 |
| Hospital Affiliation Lbn 2 | BARNES-JEWISH WEST COUNTY HOSPITAL |
| Hospital Affiliation Ccn 3 | 260017 |
| Hospital Affiliation Lbn 3 | PHELPS COUNTY REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | 260108 |
| Hospital Affiliation Lbn 4 | MISSOURI BAPTIST MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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