Individual
DERRICK SIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 LAWRENCE EXPY, DEPT 248, SANTA CLARA, CA 95051-5173
(408) 851-2750
Mailing address
710 LAWRENCE EXPY, DEPT 248, SANTA CLARA, CA 95051-5173
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A110506
CA
Other
Enumeration date
10/23/2009
Last updated
02/11/2022
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