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Organization
MICHAEL J RICCI MD A PROF CORP
Active
Organization
MICHAEL J RICCI MD A PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J RICCI MD (CEO)
(530) 894-0311
Entity
Organization
Contact information
Practice address
774 EAST AVE, CHICO, CA 95926-1253
(530) 894-0311
(530) 894-5525
Mailing address
774 EAST AVE, CHICO, CA 95926-1253
(530) 894-0311
(530) 894-5525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G22485
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083849061
—
CA
Enumeration date
05/20/2009
Last updated
10/07/2011
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