Individual
DR. DENNIS D. DERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
385 STATE ST, SUNBURY, PA 17801-2531
(570) 286-6773
(570) 286-7967
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
OS008868L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001705510
—
PA
Enumeration date
02/27/2006
Last updated
08/19/2020
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