MR. Derick Wayne Rias, RPAC

NPI #1083924500 in Saint Albans, New York

Provider Information

NPI Number
1083924500
Entity Type
Individual
Name
MR. Derick Wayne Rias, RPAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
RPAC
Enumeration Date
Oct 18, 2010
Last Updated
Oct 18, 2010

Practice Location

Address
18361 ELMIRA AVE
ZIP Code
11412-1515
Phone
(718) 454-3962

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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