Individual provider · Type 1 NPI

Edward Justin Derrick, MD

Diagnostic Radiology Physician · St. Louis, MO

NPI number 1285078154 Active

Practice location

510 S Kingshighway Blvd
St. Louis, MO 63110-1016

Fax (314) 747-4189

Mailing address

9500 Euclid Ave
Cleveland, OH 44195-0001

Other practice locations

  • 25875 Science Park Dr # AC116, Beachwood, OH 44122 · (216) 402-9593

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X2018006395 (MO)
Diagnostic Radiology Physician Primary 2085R0202X35.137034 (OH)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1285078154

Edward Justin Derrick, MD's National Provider Identifier is 1285078154, issued on Apr 23, 2013. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Louis, MO. The record was last updated on Aug 24, 2019.