Keydron Dwane Derosa, OD DOCTOR OF OPTOMET

NPI #1366514309 in Hermitage, Pennsylvania

Provider Information

NPI Number: 1366514309
Entity Type: Individual
Name: Keydron Dwane Derosa, OD DOCTOR OF OPTOMET
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD DOCTOR OF OPTOMET
Enumeration Date: Nov 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1275 NORTH HERMITAGE ROAD
Address 2: WALMART VISION CENTER
City: Hermitage
State: Pennsylvania
ZIP Code: 16148
Phone: (724) 346-5950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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