Derrick Glen Osoup
NPI #1629830625 in Petersburg, Alaska
Provider Information
- NPI Number
- 1629830625
- Entity Type
- Individual
- Name
- Derrick Glen Osoup
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 25, 2024
- Last Updated
- Jan 25, 2024
Practice Location
- Address
- 100 FRAM STREET
- City
- Petersburg
- State
- Alaska
- ZIP Code
- 99833
- Phone
- (907) 772-4963
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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