IndividualActive
Derek Hewitt, MD
NPI 1083718266 · Otolaryngology Physician · Prescott, AZ
Provider details
- NPI number
- 1083718266
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- T2003013836 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1125 W Iron Springs Rd
Prescott, AZ 86305-1623
Phone: (928) 778-9190
Fax: (928) 778-3005
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7687
Columbia, MO 65202
Registry dates
- Enumerated
- 2006-09-11
- Last updated
- 2012-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.