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Organization
RICHARD DERBY MD A PROFESSIONAL CORPORATION
Active
Organization
RICHARD DERBY MD A PROFESSIONAL CORPORATION
Active
Other names
Comprehensive Spine
Organization subpart
No
Provider details
NPI number
Authorized official
FIONNUALA MC ELLIGOTT (ADMINISTRATOR)
(650) 755-5096
Entity
Organization
Contact information
Practice address
901 CAMPUS DRIVE, #312, DALY CITY, CA 94015
(650) 755-0733
(650) 755-3018
Mailing address
901 CAMPUS DRIVE, #312, DALY CITY, CA 94015
(650) 755-0733
(650) 755-3018
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G24348
CALIF BOARD
CA
Enumeration date
05/24/2006
Last updated
10/30/2008
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