Derek Booth, DO - San Diego, CA

Derek Booth, DO

Military Health Care Provider in San Diego, California

NPI 1699397554

Derek Booth is a Military Health Care Provider based in San Diego, CA. Derek Booth practices in San Diego, CA and has the professional credentials of DO. The NPI Number for Derek Booth is 1699397554 and holds a License No. (California).

The current practice location address for Derek Booth is Naval Medical Center San Diego, San Diego, CA and can be reached out via phone at 619-881-9169.

Location: Naval Medical Center San Diego, San Diego, CA, 92134-5000

NPI Number

1699397554

Provider Name

Derek Booth

Credential

Provider Entity Type

Individual

Gender

Male

Address

Naval Medical Center San Diego, San Diego, CA, 92134-5000

Phone Number

619-881-9169

Fax Number

Provider Enumeration Date

05/14/2020

Last Update Date

03/10/2024

Address

Naval Medical Center San Diego

City

San Diego

State

California

Zip

92134-5000

Phone Number

619-881-9169

Fax Number

Address

Naval Medical Center San Diego

City

San Diego

State

California

Zip

92134-5000

Phone Number

619-881-9169

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

()

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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