Derrick Brent Freeman
Derrick Brent Freeman is a Physician Assistant in Modesto, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
1441 Florida AveModesto, CA 95350-4404
Phone: (209) 578-1211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 54664 (CA) |
|---|
Record details
| NPI number | 1790208544 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 24, 2017 |
| Last updated in NPPES | July 24, 2017 |
| Mailing address | 2020 Larry Pl, Livermore, CA 94550-6469 |
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