Aidan H Derenne MD

NPI 1003886805 - Pediatrics - 2080A0000X

NPI Details
NPI 1003886805
Gender Male
Enumeration Date 01/24/2006
Last Updated 07/10/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
505 NE 87TH AVE
STE 120
VANCOUVER WA, 98664-1989, US
Phone (360) 892-1635
Fax (360) 892-3146
Business Location
505 NE 87TH AVE
STE 120
VANCOUVER WA, 98664-1989, US
Phone (360) 892-1635
Fax (360) 892-3146
Toxanomy
Taxonomy Code 2080A0000X
License State Washington
License Number MD00037036
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According to our database, Aidan H Derenne MD NPI is 1003886805, taxonomy code is 2080A0000X and license number is MD00037036, license state is located at Washington. Aidan H Derenne MD physically located at 505 Ne 87th Ave, Vancouver WA, 98664-1989. NPI Number Aidan H Derenne MD has the Individual type.

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1003886805 NPI number is provided on an as is basis without warranty of any kind. 1003886805 is maintained by the National Plan & Provider Enumeration System. The contents of Aidan H Derenne MD are for informational purposes only.