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Individual

DR. DENISE LYNNE DEFRIES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
2870 CONCORD RD, ASTON, PA 19014-2946
(484) 480-4544
(484) 480-4546
Mailing address
2870 CONCORD RD, ASTON, PA 19014-2946
(484) 480-4544
(484) 480-4546

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-003713-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008458900
KEYSTONE HEALTH PLAN EAST
PA
01
0084589000
INDEPENCE BLUE CROSS
PA
01
153029
UNITEDHEALTH CARE
PA
01
3314201
AETNA
PA
01
3725263
CIGNA
PA
Enumeration date
08/15/2005
Last updated
03/14/2013
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