Individual provider · Type 1 NPI

Richard Derby, MD

Sports Medicine (Family Medicine) Physician · O Fallon, IL

NPI number 1295720845 Active

Practice location

670 Pierce Blvd
O Fallon, IL 62269-2579

Call (618) 206-2094 Map

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Family Medicine) Physician Primary	207QS0010X	036126121 (IL)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1295720845

Richard Derby, MD's National Provider Identifier is 1295720845, issued on Sep 20, 2005. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in O Fallon, IL. The record was last updated on Dec 29, 2021.