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Brent Ricks Dpm
Foot & Ankle Surgery Podiatrist in Modesto, California
NPI 1457749939

Brent Ricks Dpm is a Foot & Ankle Surgery Podiatrist based in Modesto, CA and is specialized in Foot & Ankle Surgery. Brent Ricks Dpm practices in Modesto, CA. The NPI Number for Brent Ricks Dpm is 1457749939 and holds a License No. E5055 (California).

The current practice location address for Brent Ricks Dpm is 1601 Mchenry Village Way Ste 3, Modesto, CA and can be reached out via phone at 209-380-7760 and via fax at 209-526-3908.

Location: 1601 Mchenry Village Way Ste 3, Modesto, CA, 95350-4338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457749939
Provider Name
Brent Ricks Dpm
Credential
Provider Entity Type
Organization
Address
1601 Mchenry Village Way Ste 3, Modesto, CA, 95350-4338
Phone Number
209-380-7760
Fax Number
209-526-3908
Provider Enumeration Date
01/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1601 Mchenry Village Way Ste 3
City
Modesto
State
California
Zip
95350-4338
Phone Number
209-380-7760
Fax Number
209-526-3908
person
Provider Business Mailing Address Details
Address
1601 Mchenry Village Way Ste 3
City
Modesto
State
California
Zip
95350-4338
Phone Number
209-380-7760
Fax Number
209-526-3908
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
E5055 (California)
Definition
Definition to come...
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