Individual
DERRICK WILLSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
514 W PUEBLO ST, SECOND FLOOR, SANTA BARBARA, CA 93105-6207
(805) 682-7751
(805) 563-2527
Mailing address
514 W PUEBLO ST, SECOND FLOOR, SANTA BARBARA, CA 93105-6207
(805) 682-7751
(805) 563-2527
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G86018
CA
Other
Enumeration date
02/23/2007
Last updated
07/09/2007
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