Individual
DR. DEREK GLEN MCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2428 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2045
(310) 315-1000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
20A16474
CA
2085R0202X
Diagnostic Radiology Physician
20A16474
CA
2085R0202X
Diagnostic Radiology Physician
5101020333
MI
Other
Enumeration date
07/01/2013
Last updated
08/05/2022
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