Joseph A Dericco in Bremerton - Physician Assistant
Joseph A Dericco - NPI 1790751543
Joseph A Dericco is a Physician Assistant in Bremerton, Washington. Joseph A Dericco practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Joseph A Dericco is 1790751543. The last update date is 2007-07-08.
Joseph A Dericco's current location address is 1 Boone Rd, Bremerton, Washington. You can contact this provider via phone number 3604754426 and fax number 3604754344. The mailing address for Joseph A Dericco is 1 Boone Rd, Bremerton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph A Dericco |
|---|---|
| Address | 1 Boone Rd, Bremerton, Washington |
| Phone Number | 3604754426 |
| Fax Number | 3604754344 |
| Sole Proprietor | X |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1790751543 |
|---|---|
| Provider Enumeration Date | 2006-02-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Boone Rd |
|---|---|
| City | Bremerton |
| State | Washington (WA) |
| Post Code | 983121894 |
| Phone Number | 3604754426 |
| Fax Number | 3604754344 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identifier code issued to Joseph A Dericco by the Centers for Medicare & Medicaid Services?
The Joseph A Dericco has been assigned the NPI (National Provider Identifier) 1790751543. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Joseph A Dericco's facilities are situated?
The facilities of Joseph A Dericco are physically located at the following address: 1 Boone Rd, Bremerton, WA, 983121894.
On what date was the 1790751543 assigned to Joseph A Dericco?
The Joseph A Dericco was issued its 1790751543 on 2006-02-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Joseph A Dericco most recently updated?
The details pertaining to the Joseph A Dericco, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
As of what date was the information pertaining to Joseph A Dericco, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Joseph A Dericco, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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