Darrin W Dereu ATC

NPI 1053326520 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1053326520
Gender Male
Enumeration Date 07/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
N CAROLINA STATE UNIVERSITY
2500 WARREN CARROL DRIVE, BOX 8502
RALEIGH NC, 27695-8502, US
Phone (919) 513-7295
Fax
Business Location
3404 SOSA RD
RALEIGH NC, 27610-4097, US
Phone (919) 513-7295
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State North Carolina
License Number 0805
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According to our database, Darrin W Dereu ATC NPI is 1053326520, taxonomy code is 2255A2300X and license number is 0805, license state is located at North Carolina. Darrin W Dereu ATC physically located at N Carolina State University, Raleigh NC, 27695-8502. NPI Number Darrin W Dereu ATC has the Individual type.

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1053326520 NPI number is provided on an as is basis without warranty of any kind. 1053326520 is maintained by the National Plan & Provider Enumeration System. The contents of Darrin W Dereu ATC are for informational purposes only.