Individual
DR. MARC STEVEN RICKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1160 VARNUM ST NE, DEPAUL BLDG-SUITE 110, WASHINGTON, DC 20017-2104
(202) 448-4080
(202) 448-4082
Mailing address
1160 VARNUM ST NE, DEPAUL BLDG-SUITE 110, WASHINGTON, DC 20017-2104
(202) 448-4080
(202) 448-4082
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD33973
DC
208600000X
Surgery Physician
Primary
MD33973
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410085900
—
MD
Enumeration date
07/16/2006
Last updated
02/09/2016
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