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Organization

MARVIN J. DERRICK

Active
Other names
Bakersfield Varicose Vein Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARVIN J DERRICK M.D. (OWNER)
(661) 377-8346
Entity
Organization

Contact information

Practice address
3838 SAN DIMAS ST, STE A100, BAKERSFIELD, CA 93301-2284
(661) 377-8346
(661) 327-0921
Mailing address
3838 SAN DIMAS ST, STE A100, BAKERSFIELD, CA 93301-2284
(661) 377-8346
(661) 327-0921

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G478550
CA
Enumeration date
05/31/2007
Last updated
06/12/2008
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