Individual
DR. DEREK EDWARD KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5523 MISSION RD, STE C, BONSALL, CA 92003
(760) 724-8104
Mailing address
P.O.BOX 338, BONSALL, CA 92003-0338
(760) 724-8104
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
21391
CA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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