SAMANTHA DERZON, MD
Family Medicine
Active
Individual
NPI: 1053060939
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Family Medicine | 207Q00000X | Yes | 135169241205 (UT) |
Frequently Asked Questions
NPI 1053060939 is the National Provider Identifier for SAMANTHA DERZON, MD, a Family Medicine provider located in Provo, UT. This NPI was enumerated on March 19, 2022.
SAMANTHA DERZON, MD practices at 475 W 940 N, Provo, UT 84604.
Quick Facts
- NPI
- 1053060939
- Type
- Individual
- Enumerated
- Mar 19, 2022
- Last Updated
- May 28, 2025
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