Provider Demographics
NPI:1679011647
Name:DORAN, DARRIN ERIC (DO)
Entity Type:Individual
Prefix:DR
First Name:DARRIN
Middle Name:ERIC
Last Name:DORAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1743 TALL OAKS RD
Mailing Address - Street 2:
Mailing Address - City:ORWIGSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17961-9540
Mailing Address - Country:US
Mailing Address - Phone:570-955-7940
Mailing Address - Fax:
Practice Address - Street 1:10 E SPRUCE ST
Practice Address - Street 2:
Practice Address - City:FRACKVILLE
Practice Address - State:PA
Practice Address - Zip Code:17931-2418
Practice Address - Country:US
Practice Address - Phone:570-874-7001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-09
Last Update Date:2022-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2021-01198207Q00000X
MTMED-PHYS-LIC-95803207Q00000X
PAOT017560207Q00000X
VA0102206808207Q00000X
PAOS019522207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine