Individual
AARON DEATHERAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 S MAIN ST, CORONA, CA 92882-3420
(951) 737-4343
Mailing address
800 S MAIN ST, CORONA, CA 92882-3420
(951) 737-4343
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A23276
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
03/11/2026
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