PHILIP J DERLETH

DERLETH CHIROPRACTIC PLLC

Dr PHILIP J DERLETH is a male medical professional, specializing in Chiropractic. He graduated in 2010 from New York Chiropractic College.

Contact

DERLETH CHIROPRACTIC PLLC

625 AYRAULT RD
FAIRPORT
NY
144503076

Tel: 5855983535

PHILIP J DERLETH Information

Npi 1659696771
Pac Id 5597894873
Professional Enrollment Id I20100525000554
Last Name DERLETH
First Name PHILIP
Middle Name J
Suffix
Gender M
Credential
Medical School Name NEW YORK CHIROPRACTIC COLLEGE
Graduation Year 2010
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name DERLETH CHIROPRACTIC PLLC
Group Practice Pac Id 9436207859
Number Of Group Practice Members 2
Line 1 Street Address 625 AYRAULT RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FAIRPORT
State NY
Zip Code 144503076
Phone Number 5855983535
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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