Individual
DR. DERRICK MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
313 W SHAW AVE, CLOVIS, CA 93612-3685
(800) 492-4227
Mailing address
313 W SHAW AVE, CLOVIS, CA 93612-3685
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A183588
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2020
Last updated
07/25/2023
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