Individual
DENIS P RICARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1212 S WALNUT ST, FAIRMONT, NC 28340-1848
(910) 628-6711
(910) 628-5735
Mailing address
60 COMMERCE PLAZA CIR, PEMBROKE, NC 28372-7386
(910) 521-2900
(910) 775-9165
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101360
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102316
—
NC
Enumeration date
08/19/2005
Last updated
09/16/2020
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