Individual
ROBERT PAUL DERRICKSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 MT PLEASANT RD, BELLE VERNON, PA 15012-3331
(724) 989-8262
(724) 929-4957
Mailing address
108 MT PLEASANT RD, BELLE VERNON, PA 15012-3331
(724) 989-8262
(724) 929-4957
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
000560E
PA
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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