Individual
MARK NEAL RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3676 PARKER BLVD, SUITE 110, PUEBLO, CO 81008-2212
(719) 252-7102
Mailing address
3576 PARKER BOULEVARD, SUITE 110, PUEBLO, CO 81008
(719) 252-7102
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2709
CO
Other
Enumeration date
11/19/2008
Last updated
04/15/2009
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