Derry, Susan A

Derry, Susan A is an individual health care provider with primary practice located at 700 S Main St , Moscow ID 83843-3046. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Derry, Susan A can be contacted via phone (208) 882-4511.

Contact Information

Primary practice address
700 S Main St Moscow ID 83843-3046
Phone: (208) 882-4511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 8161176 Idaho
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD60547005 Washington

Profile Details

NPI number 1023109030
LBN Legal business name Derry, Susan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Aug 11th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers