Individual
DR. DEBORAH A. CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4251 S HIGUERA ST STE 701, SAN LUIS OBISPO, CA 93401-7742
(805) 439-1381
(805) 439-0138
Mailing address
4251 S HIGUERA ST STE 701, SAN LUIS OBISPO, CA 93401-7742
(805) 439-1381
(805) 439-0138
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G61844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G618440
BLUE SHIELD LEGACY PIN
CA
01
—
05D0996840
CLIA
CA
01
—
1109232696
RAILROAD MEDICARE
—
01
—
635978
FIRST HEALTH LEGACY PIN
—
01
—
ORR004
SLO SELECT
—
Enumeration date
11/21/2005
Last updated
10/30/2023
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