person
Mr. Derrick Maurice Knox JR., MD
General Practice Physician in San Diego, California
NPI 1295480218

Derrick Maurice Knox JR. is a General Practice Physician based in San Diego, CA. Derrick Maurice Knox JR. practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Derrick Maurice Knox JR. is 1295480218 and holds a License No. (California).

The current practice location address for Derrick Maurice Knox JR. is 34800 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 619-532-5761.

Location: 34800 Bob Wilson Dr, San Diego, CA, 92134-1098
person
Provider Profile Details
NPI Number
1295480218
Provider Name
Derrick Maurice Knox JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
34800 Bob Wilson Dr, San Diego, CA, 92134-1098
Phone Number
619-532-5761
Fax Number
Provider Enumeration Date
02/17/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-1098
Phone Number
619-532-5761
Fax Number
person
Provider Business Mailing Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-1098
Phone Number
619-532-5761
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
0101279387 (Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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