Individual
DAVID A DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 S GEORGE ST, YORK HOSPITAL, YORK, PA 17403-3676
(717) 851-5001
(717) 851-5114
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD047321L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001576397
—
PA
01
—
0123091000
AMERIHEALTH 65 PA-YH
PA
01
—
079119
HIGHMARK BLUE SHIELD YH
PA
01
—
1140821
AMERIHEALTH MERCY-YH
PA
01
—
1537591
GATEWAY YH
PA
01
—
30124646
AMERIHEALTH MERCY - WSRH
PA
01
—
30147692
AMERIHEALTH CARITAS-GH
PA
01
—
50067275
CAPITAL BLUE CROSS YH
PA
01
—
55051
GEISINGER YH
PA
Enumeration date
10/24/2005
Last updated
11/21/2024
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