National Provider Identifier
Derrick Michael Thornton, DO
Derrick Michael Thornton, DO is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 645-9700.
Profile Overview
- NPI
- 1447054168
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 02, 2025
- Last Updated
- April 02, 2025
Practice Location
- 77 Goodell St Ste 304
- Buffalo, NY 14203-1243
Phone: (716) 645-9700
Mailing Address
- 16309 E Brewster RD Apt A304
- Covington, LA 70433-7320
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1447054168
- Entity Type
- Individual
- Last Name
- Thornton
- First Name
- Derrick
- Middle Name
- Michael
- Credential
- DO
- Mailing Street Address
- 16309 E Brewster RD Apt A304
- Mailing City
- Covington
- Mailing State
- LA
- Mailing ZIP Code
- 70433-7320
- Mailing Country
- US
- Practice Street Address
- 77 Goodell St Ste 304
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1243
- Practice Country
- US
- Practice Phone
- (716) 645-9700
- Enumeration Date
- April 02, 2025
- Last Updated
- April 02, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 02, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)