# MARVIN J. DERRICK, M.D. INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801040894
- **Authorized official:** MARVIN J DERRICK MD (OWNER)
- **Authorized official phone:** (661) 664-9990

## Contact information

- **Practice address:** 500 OLD RIVER RD, SUITE 250, BAKERSFIELD, CA 93311-9504
- **Practice address phone:** (661) 664-9990
- **Mailing address:** PO BOX 22140, BAKERSFIELD, CA 93390-2140
- **Mailing address phone:** (661) 664-9990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | G47855 | CA | Yes |

## Other

- **Enumeration date:** 11/04/2008
- **Last updated:** 11/04/2008