Search › Pennsylvania › 152W00000X
David Derose, OD
NPI 1992814073 · on the registry since 2006 · sole proprietor
Practice
- Address
- 150 W Hillcrest Dr
Bloomsburg, PA 17815 - Phone
- (570) 204-6547
- Fax
- (570) 387-9135
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania