Individual
DEREK COPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 316-5151
Mailing address
1324 LOCUST ST APT 209, PHILADELPHIA, PA 19107-7013
(443) 623-1256
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
128051
PA
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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