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Individual

DEREK GILBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
480 TESCONI CIR STE B, SANTA ROSA, CA 95401-4691
(707) 206-7268
(707) 206-7254
Mailing address
480 TESCONI CIR STE B, SANTA ROSA, CA 95401-4691
(707) 206-7268
(707) 206-7254

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A173547
CA
2084P0800X
Psychiatry Physician
R4404
KY

Other

Enumeration date
03/28/2017
Last updated
09/21/2023
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