Individual
DERRICK H ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2295 FIELDSTONE DRIVE, SUITE 150, LINCOLN, CA 95648
(530) 527-0414
Mailing address
2295 FIELDSTONE DRIVE, SUITE 150, LINCOLN, CA 95648
(530) 527-0414
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A8900
CA
207QA0505X
Adult Medicine Physician
20A8900
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089250
—
CA
05
—
RHM53955F
—
CA
Enumeration date
11/10/2005
Last updated
05/01/2023
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