Individual
DR. DERICK GAREY HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
7075 N SHARON AVE, FRESNO, CA 93720-3329
(559) 486-2000
(559) 256-8575
Mailing address
7075 N SHARON AVE, FRESNO, CA 93720-3329
(559) 486-2000
(559) 256-8575
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
130445
CA
207W00000X
Ophthalmology Physician
49904
TN
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
A130445
CA
208000000X
Pediatrics Physician
130445
CA
208000000X
Pediatrics Physician
MD49904
TN
Other
Enumeration date
03/31/2009
Last updated
04/20/2020
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