Individual
DR. JOHN DERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 MILLWOOD STREET, SUITE #4, MILL VALLEY, CA 94941
(415) 388-8417
Mailing address
10 MILLWOOD STREET, SUITE #4, MILL VALLEY, CA 94941
(415) 388-8417
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G52083
CA
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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