Derek Booth, DO is a military health care provider in San Diego, CA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Derek Booth, DO NPI is 1699397554. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
NAVAL MEDICAL CENTER SAN DIEGO
34800 BOB WILSON DRIVE
SAN DIEGO, CA
ZIP 92134-000
Phone: (619) 881-9169
The NPI 1699397554 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/14/2020 and was last updated on 5/14/2020.