Provider Demographics
NPI:1912434978
Name:DERBES, HENRY DANIEL III (MD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:DANIEL
Last Name:DERBES
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:SATANTA
Mailing Address - State:KS
Mailing Address - Zip Code:67870-0009
Mailing Address - Country:US
Mailing Address - Phone:620-682-4971
Mailing Address - Fax:620-649-2538
Practice Address - Street 1:401 CHEYENNE
Practice Address - Street 2:
Practice Address - City:SATANTA
Practice Address - State:KS
Practice Address - Zip Code:67870-8748
Practice Address - Country:US
Practice Address - Phone:620-682-8414
Practice Address - Fax:620-649-2538
Is Sole Proprietor?:No
Enumeration Date:2017-05-20
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV32695208D00000X
KS04-49203208D00000X
NE34900208D00000X
MI4301112876208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208600000XAllopathic & Osteopathic PhysiciansSurgery