NPI 1053862052
Benjamin Deruiter
Practice location
- Address
- 6 S El Dorado St Suite 510, Stockton, CA 95202-2804
- Phone
- (209) 478-9862
- Fax
- (209) 478-1938
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1053862052
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Oct 2016
- Record last updated
- 14 Oct 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.