Peter Dereva

NPI #1588283063 in Nashville, Tennessee

Provider Information

NPI Number
1588283063
Entity Type
Individual
Name
Peter Dereva
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Apr 14, 2020
Last Updated
Apr 14, 2020

Practice Location

Address
2000 GLEN ECHO RD STE 105
ZIP Code
37215-2857
Phone
(214) 687-2392

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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