Provider Demographics
NPI:1124356381
Name:INVERGO, DARBI LEIGHTON (DO)
Entity Type:Individual
Prefix:
First Name:DARBI
Middle Name:LEIGHTON
Last Name:INVERGO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:DARBI
Other - Middle Name:JO
Other - Last Name:LEIGHTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1020
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95201-3120
Mailing Address - Country:US
Mailing Address - Phone:209-468-6937
Mailing Address - Fax:303-252-9075
Practice Address - Street 1:500 W HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:FRENCH CAMP
Practice Address - State:CA
Practice Address - Zip Code:95231-9693
Practice Address - Country:US
Practice Address - Phone:209-468-6600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A16828207T00000X
MTMED-PHYS-LIC-58768207T00000X
CODR.0053187207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery