Individual
DR. DUANE E. DEIVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
675 BALTIMORE DR, WILKES BARRE, PA 18702-7900
(570) 808-5757
(570) 808-5753
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS012660
PA
208M00000X
Hospitalist Physician
OS012660
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101355085
—
PA
Enumeration date
02/27/2006
Last updated
08/10/2020
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