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Individual
MR. DERRICK L. SMITH
Active
Individual
MR. DERRICK L. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G50178
CA
2084P0800X
Psychiatry Physician
G50178
CA
208600000X
Surgery Physician
G50178
CA
Other
Enumeration date
09/14/2005
Last updated
09/15/2024
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