Individual
BRIAN DEEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-5606
Mailing address
111 N HUNTINGTON AVE, DANVILLE, PA 17821-1227
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OT018732
PA
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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