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Individual

DR. REGINALD DIETEL RICE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4300 GOLDEN CENTER DR, SUITE D, PLACERVILLE, CA 95667-6278
(530) 344-2000
(530) 344-2014
Mailing address
PO BOX 45680, SAN FRANCISCO, CA 94145-0680
(530) 344-2000
(530) 344-2014

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
G70357
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G703570
STATE PHYSICIAN LICENSE #
CA
Enumeration date
05/08/2006
Last updated
01/12/2016
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