Organization
DENALI TICE MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENALI TICE MD (PRESIDENT)
(916) 400-9037
Entity
Organization
Contact information
Practice address
850 IRON POINT RD, FOLSOM, CA 95630-9009
(916) 400-9037
Mailing address
PO BOX 803, FOLSOM, CA 95763-0803
(916) 400-9037
(608) 888-1793
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
02/17/2026
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