Individual
DAVID T DEROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
205 SUMMER ROSE LN, JOHNSON CITY, TN 37601-5356
(704) 658-8727
Mailing address
205 SUMMER ROSE LN, JOHNSON CITY, TN 37601-5356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4949
TN
Other
Enumeration date
04/10/2019
Last updated
07/03/2024
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