Individual
DR. DEREK ALLAN TAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 E RIVER PARK PL W STE 104, FRESNO, CA 93720-1565
(559) 320-0530
(559) 320-0532
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A80229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A802290
—
CA
Enumeration date
11/16/2005
Last updated
11/07/2019
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