person
Gaye Derusso, PA
Surgical Physician Assistant in Berkeley, California
NPI 1184658783

Gaye Derusso is a Surgical Physician Assistant based in Berkeley, CA and is specialized in Surgical. Gaye Derusso practices in Berkeley, CA and has the professional credentials of PA. The NPI Number for Gaye Derusso is 1184658783 and holds a License No. PA15294 (California).

The current practice location address for Gaye Derusso is 2999 Regent St, Berkeley, CA and can be reached out via phone at 510-704-7760 and via fax at 510-704-7765.

Location: 2999 Regent St, Berkeley, CA, 94705-2190
person
Provider Profile Details
NPI Number
1184658783
Provider Name
Gaye Derusso
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2999 Regent St, Berkeley, CA, 94705-2190
Phone Number
510-704-7760
Fax Number
510-704-7765
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2999 Regent St
City
State
Zip
94705-2190
Phone Number
510-704-7760
Fax Number
510-704-7765
person
Provider Business Mailing Address Details
Address
2999 Regent St
City
State
Zip
94705-2190
Phone Number
510-704-7760
Fax Number
510-704-7765
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA15294 (California)
Definition
Definition to come...
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