Individual
DERRICK SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.D.R.S.
Contact information
Practice address
1904 FRANKLIN ST, SUITE 330, OAKLAND, CA 94612-2912
(510) 444-8900
(415) 267-6118
Mailing address
2039 21ST AVENUE, SAN FRANCISCO, CA 94116-1208
(415) 336-8916
(415) 267-6118
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
N6309804
CA
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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