Doctor Name: | DR. DARREN C CHERRY |
NPI Number: | 1124173729 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 0102201776 |
Business Practice Address: | Mwss-374 Mcagcc 29 Palms Twentynine Palms, CA - 922788285 |
Business Phone Number: | 7608307475 |
Business Fax Number: | |
Mailing Address: | Mwss-374, Box 788285, Mcagcc 29 Palms TWENTYNINE PALMS |
State: | CA |
Postal Code: | 922788285 |
Phone Number: | 7608307475 |
Fax Number: | |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0102201776 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |