IndividualActive
Gael Derouin, DO
NPI 1821042078 · Otolaryngology Physician · Phoenix, AZ
Provider details
- NPI number
- 1821042078
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 3052 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2525 E Roosevelt St
Phoenix, AZ 85008-4948
Phone: (602) 344-1015
Approximate (ZIP-level) locationGet directions
Mailing address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2008-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.