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Individual

DERRICK H ADAMS

Active
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Individual

DERRICK H ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

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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