Brent Ricks DPM
Brent Ricks DPM provides Foot & Ankle Surgery Podiatrist services in Modesto, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
1601 McHenry Village Way Ste 3Modesto, CA 95350-4338 Not confirmed with CMS for 11 years — call before visiting
Phone: (209) 380-7760
Fax: (209) 526-3908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot & Ankle Surgery Podiatrist (primary) | Taxonomy 213ES0103X · Licence E5055 (CA) |
|---|
Record details
| NPI number | 1457749939 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brent Ricks — Ceo/Chairman Of The Board · (209) 380-7760 |
| NPI enumerated | January 6, 2015 |
| Last updated in NPPES | January 6, 2015 |
| Mailing address | 1601 McHenry Village Way Ste 3, Modesto, CA 95350-4338 |
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