Individual
GERARD DERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1498 SOLANO AVE, ALBANY, CA 94706-2148
(510) 524-1680
(510) 528-8410
Mailing address
1498 SOLANO AVE, ALBANY, CA 94706-2148
(510) 524-1680
(510) 528-8410
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2486
HI
207X00000X
Orthopaedic Surgery Physician
E6764
TX
207X00000X
Orthopaedic Surgery Physician
Primary
G28626
CA
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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