Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSEPH A DERICCO, PA-C
ActiveJOSEPH A DERICCO, PA-C is a Physician Assistant healthcare provider located in BREMERTON, Washington. NPI 1790751543 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BREMERTON, WA
Registration Details
- NPI Number
- 1790751543
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 23, 2006 (20.435695453942 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
1 BOONE RDBREMERTON, WA, 983121894Browse WA providers · Browse ZIP 98312
- Phone
- 3604754426
- Fax
- 3604754344
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BREMERTON, WA
| Name | Credential | NPI |
|---|---|---|
| JOSEPH P GOULARTE JR. | — | 1558334425 |
| SHAWN ERIK TEDFORD | PA-C | 1063449072 |
| SONJA MARIA PIBER | P.A.-C | 1902815004 |
| JACQUELINE MCGRATH | PA-C | 1356438865 |
| MICHAEL LAWRENCE CHERNEKOFF | PA-C | 1356429716 |
| HEIDI LUNDEEN | PAC | 1053465765 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.