Paul W Derrick OD

NPI 1083674113 - Optometrist - 152W00000X

NPI Details
NPI 1083674113
Gender Male
Enumeration Date 03/24/2006
Last Updated 01/29/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
IRMO SC, 29063-0722, US
Phone (803) 781-2212
Fax (803) 233-2883
Business Location
PO BOX 227
IRMO SC, 29063-0227, US
Phone (803) 781-2212
Fax (803) 233-2883
Taxonomy Code 152W00000X
License State South Carolina
License Number 496
Remove 1083674113 NPI Number

According to our database, Dr. Paul W Derrick OD NPI is 1083674113, taxonomy code is 152W00000X and license number is 496, license state is located at South Carolina. Paul W Derrick OD physically located at 7229 St Andrews Road, Irmo SC, 29063-0722. NPI Number Paul W Derrick OD has the Individual type.

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1083674113 NPI number is provided on an as is basis without warranty of any kind. 1083674113 is maintained by the National Plan & Provider Enumeration System. The contents of Paul W Derrick OD are for informational purposes only.