Organization
RYAN DERBY, MD CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN EDWARD DERBY MD, MPH (PRESIDENT)
(650) 814-6188
Entity
Organization
Contact information
Practice address
1330 TARA HILLS DR STE E105, PINOLE, CA 94564-2531
(650) 814-6188
Mailing address
1330 TARA HILLS DR STE E105, PINOLE, CA 94564-2531
(650) 814-6188
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/12/2022
Last updated
06/12/2022
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