Gerard Dericks MD

NPI 1396992392 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1396992392
Gender Male
Enumeration Date 08/20/2008
Last Updated 08/20/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1498 SOLANO AVE
ALBANY CA, 94706-2148, US
Phone (510) 524-1680
Fax (510) 528-8410
Business Location
1498 SOLANO AVE
ALBANY CA, 94706-2148, US
Phone (510) 524-1680
Fax (510) 528-8410
Toxanomy
Taxonomy Code 207X00000X
License State Hawaii
License Number 2486
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According to our database, Gerard Dericks MD NPI is 1396992392, taxonomy code is 207X00000X and license number is 2486, license state is located at Hawaii. Gerard Dericks MD physically located at 1498 Solano Ave, Albany CA, 94706-2148. NPI Number Gerard Dericks MD has the Individual type.

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1396992392 NPI number is provided on an as is basis without warranty of any kind. 1396992392 is maintained by the National Plan & Provider Enumeration System. The contents of Gerard Dericks MD are for informational purposes only.