-- GERARD DERISSE -- MD
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1447290200- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1301 KS HWY 264, LARNED, KS, 675505353
- Phone
- (620) 285-4115
- Fax
- (620) 285-4579
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
Primary License: KS #0800282