Individual
DR. DUSTIN PATRICK DERYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1101 BAILARD AVE, CARPINTERIA, CA 93013-2637
(805) 636-8652
Mailing address
1101 BAILARD AVE, CARPINTERIA, CA 93013-2637
(805) 636-8652
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
31497
CA
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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