OrganizationActive
Jose J. Derdoy, MD, LLC
NPI 1003383258 · Pediatric Gastroenterology Physician · Creve Coeur, MO
Provider details
- NPI number
- 1003383258
- Entity type
- Organization
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jose Derdoy, Owner/President
Practice location
845 N New Ballas Ct Ste 330
Creve Coeur, MO 63141-7169
Phone: (314) 744-9078
Mailing address
845 N New Ballas Ct Ste 330
Creve Coeur, MO 63141-7169
Registry dates
- Enumerated
- 2018-10-25
- Last updated
- 2019-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.