Individual
ANTHONY R DERRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 HOSPITAL DR, ATHENS, OH 45701-2301
(740) 589-4136
(740) 594-7604
Mailing address
100 HOSPITAL DR, ATHENS, OH 45701-2301
(740) 589-4136
(740) 594-7604
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34-007380
OH
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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