Individual
DR. DARRELL ANDRE MCBRIDE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6408
(570) 271-5845
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
OS019229
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10350001110001
—
PA
Enumeration date
05/31/2012
Last updated
08/31/2020
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