Ryan Derby, MD Corp.
NPI #1154051308 in Pinole, California
Provider Information
- NPI Number
- 1154051308
- Entity Type
- Organization
- Organization Name
- Ryan Derby, MD Corp.
- Primary Specialty
- Pain Medicine - Interventional Pain Medicine
- Enumeration Date
- Jun 12, 2022
- Last Updated
- Jun 12, 2022
Practice Location
- Address
- 1330 TARA HILLS DR STE E105
- City
- Pinole
- State
- California
- ZIP Code
- 94564-2531
- Phone
- (650) 814-6188
Authorized Official
- Name
- RYAN EDWARD DERBY, MD, MPH
- Title
- PRESIDENT
- Phone
- (650) 814-6188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine |
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| DR. Jan Paul Maddox, M.D. | |
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Organizations
| Provider Name | |
|---|---|
| Community Pain Management Medical Clinic INC |
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