Organization
BRENT RICKS DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT C RICKS DPM (CEO/CHAIRMAN OF THE BOARD)
(209) 380-7760
Entity
Organization
Contact information
Practice address
1601 MCHENRY VILLAGE WAY STE 3, MODESTO, CA 95350-4338
(209) 380-7760
(209) 526-3908
Mailing address
1601 MCHENRY VILLAGE WAY STE 3, MODESTO, CA 95350-4338
(209) 380-7760
(209) 526-3908
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5055
CA
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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