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Individual

DR. RICHARD DERBY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
901 CAMPUS DRIVE, SUITE 312, DALY CITY, CA 94015
(650) 755-0733
(650) 755-3018
Mailing address
901 CAMPUS DRIVE, SUITE 312, DALY CITY, CA 94015
(650) 755-0733
(650) 755-3018

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G24348
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G24348
CALIF BOARD
Enumeration date
09/28/2006
Last updated
11/18/2010
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