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1902984495
DERRICK KOO
ROSEVILLE, CA
NPI
1902984495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: CA A86734)
Enumeration Date
2006-11-01
Last Update Date
2021-12-13
Business Address
DERRICK KOO MD
504 GIBSON DR
ROSEVILLE, CA 95678-5799
Phone number: 916-771-2871
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Mailing Address
DERRICK KOO MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3466
Phone number: 510-625-6262
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