DR. David Peter Derose, OD

NPI #1992814073 in Bloomsburg, Pennsylvania

Provider Information

NPI Number: 1992814073
Entity Type: Individual
Name: DR. David Peter Derose, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 30, 2006
Last Updated: Mar 7, 2023

Practice Location

Address: 150 W HILLCREST DR
City: Bloomsburg
State: Pennsylvania
ZIP Code: 17815-6710
Phone: (570) 204-6547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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