Individual
DR. PAUL DERIDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4108 RIVER AVE, NEWPORT BEACH, CA 92663-2915
(714) 345-5887
(949) 548-1994
Mailing address
4108 RIVER AVE, NEWPORT BEACH, CA 92663-2915
(714) 345-5887
(949) 548-1994
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G33885
CA
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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