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Individual

DR. IAN DEROOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
695 S DOBSON RD, CHANDLER, AZ 85224-5665
(480) 821-2838
(480) 821-9444
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
41596
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
436811
AZ
Enumeration date
11/21/2005
Last updated
06/04/2014
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