Individual
DR. DEBORAH LYNN DEMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2320 WOOLSEY ST, SUITE 201, BERKELEY, CA 94705-1973
(510) 843-8002
(510) 540-4808
Mailing address
2320 WOOLSEY ST, BERKELEY, CA 94705-1973
(510) 843-8002
(510) 540-4808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G076639
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G766390
MEDICAL
CA
Enumeration date
07/23/2006
Last updated
01/31/2014
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