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Individual

DARRON B LOCKE

Active
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Individual

DARRON B LOCKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD048590L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014132010001
—
PA
01
—
0015716860011
DPA GROUP #
PA
01
—
023390100
UMW (BLACK LUNG)
PA
01
—
080045281
RR TRAVELERS
PA
01
—
838788
MEDICARE GROUP #
PA
Enumeration date
09/07/2005
Last updated
11/10/2011
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