NPI Index

JOSE DERDOY, MD

Pediatrics - Pediatric Gastroenterology

Active Individual
NPI: 1396838876

Practice Address

615 S NEW BALLAS RD
CHILDREN'S HOSPITAL, GROUND FLOOR, SUITE YG220
Saint Louis, MO 63141

Phone: (314) 251-5550

Specialties

Specialty Code Primary License
Pediatrics - Pediatric Gastroenterology 2080P0206X Yes 2007002166 (MO)
Specialist 174400000X No 430654872 (MO)

Frequently Asked Questions

NPI 1396838876 is the National Provider Identifier for JOSE DERDOY, MD, a Pediatrics - Pediatric Gastroenterology provider located in Saint Louis, MO. This NPI was enumerated on October 2, 2006.
JOSE DERDOY, MD practices at 615 S NEW BALLAS RD, CHILDREN'S HOSPITAL, GROUND FLOOR, SUITE YG220, Saint Louis, MO 63141.

Quick Facts

NPI
1396838876
Type
Individual
Enumerated
Oct 2, 2006
Last Updated
Oct 4, 2024

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