Deroock, Ian

Deroock, Ian is an individual health care provider with primary practice located at 695 S Dobson Rd , Chandler AZ 85224-5665. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Deroock, Ian can be contacted via phone (480) 821-2838.

Contact Information

Primary practice address
695 S Dobson Rd Chandler AZ 85224-5665
Phone: (480) 821-2838
Fax: (480) 821-9444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 41596 Arizona

Profile Details

NPI number 1114900479
LBN Legal business name Deroock, Ian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jun 4th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114900479 NPPES
Arizona MEDICAID 436811

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