Individual
MR. DERRICK MAURICE KNOX JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-5761
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-5761
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0101279387
VA
Other
Enumeration date
02/17/2022
Last updated
02/22/2024
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