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Individual

DR. FERDINAND REYES RICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18310 US HIGHWAY 18, APPLE VALLEY, CA 92307-2206
(760) 241-6666
(760) 947-5619
Mailing address
18310 US HIGHWAY 18, APPLE VALLEY, CA 92307-2206
(760) 241-6666
(760) 947-5619

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
238476
NY
208600000X
Surgery Physician
Primary
A114111
CA
208600000X
Surgery Physician
N4039
TX
2086S0102X
Surgical Critical Care Physician
N4039
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0086675
OH
05
200781200A
OK
05
210237807
TX
05
210237808
TX
05
34383298
NM
Enumeration date
08/13/2006
Last updated
10/19/2020
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