DR. Derrick Jack Stom, DC

NPI #1164176616 in Walnut Creek, California

Provider Information

NPI Number: 1164176616
Entity Type: Individual
Name: DR. Derrick Jack Stom, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Feb 3, 2022
Last Updated: Apr 17, 2023

Practice Location

Address: 7001 SUNNE LN # 112
City: Walnut Creek
State: California
ZIP Code: 94597-3622
Phone: (925) 956-8333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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