person
Dr. Brent Christopher Ricks, DPM
Foot & Ankle Surgery Podiatrist in Modesto, California
NPI 1821309295

Brent Christopher Ricks is a Foot & Ankle Surgery Podiatrist based in Modesto, CA and is specialized in Foot & Ankle Surgery. Brent Christopher Ricks practices in Modesto, CA and has the professional credentials of DPM. The NPI Number for Brent Christopher Ricks is 1821309295 and holds a License No. E 5055 (California).

The current practice location address for Brent Christopher Ricks is 1601 Mchenry Village Way Ste 3, Modesto, CA and can be reached out via phone at 209-380-2884 and via fax at 209-526-3908.

Location: 1601 Mchenry Village Way Ste 3, Modesto, CA, 95350-4338
person
Provider Profile Details
NPI Number
1821309295
Provider Name
Brent Christopher Ricks
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1601 Mchenry Village Way Ste 3, Modesto, CA, 95350-4338
Phone Number
209-380-2884
Fax Number
209-526-3908
Provider Enumeration Date
06/30/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HH008A 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1601 Mchenry Village Way Ste 3
City
State
Zip
95350-4338
Phone Number
209-380-2884
Fax Number
209-526-3908
person
Provider Business Mailing Address Details
Address
1601 Mchenry Village Way Ste 3
City
State
Zip
95350-4338
Phone Number
209-380-2884
Fax Number
209-526-3908
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E 5055 (California)
Definition
Definition to come...
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