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Individual

DR. GARY M FRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
10225 TELEPHONE RD, SUITE E, VENTURA, CA 93004-2804
(805) 647-4950
(805) 647-4969
Mailing address
10225 TELEPHONE RD, SUITE E, VENTURA, CA 93004-2804
(805) 647-4950
(805) 647-4969

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7188T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0071880
CA
Enumeration date
09/23/2005
Last updated
04/10/2008
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