Individual
DR. GREGORY MICHAEL BRICCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9269 SIERRA COLLEGE BLVD, ROSEVILLE, CA 95661
(916) 772-1585
(916) 772-5685
Mailing address
9269 SIERRA COLLEGE BLVD, ROSEVILLE, CA 95661
(916) 772-1585
(916) 772-5685
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A70396
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A70396
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A703962
MEDICARE
CA
Enumeration date
06/09/2005
Last updated
03/07/2023
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