James P Derum, PA-C Valid NPI

Individual provider · Physician Assistant · Walnut Creek, CA

NPI

1447355474

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA16110 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2006-09-14

Last updated

2013-04-23