DR. Theresa M Derickson, MD

NPI #1639260169 in West Chester, Ohio

Provider Information

NPI Number: 1639260169
Entity Type: Individual
Name: DR. Theresa M Derickson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Sep 28, 2006
Last Updated: Oct 2, 2014

Practice Location

Address: 8040 PRINCETON-GLENDALE RD.
City: West Chester
State: Ohio
ZIP Code: 45069-0000
Phone: (513) 872-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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