DR. Marvin Daryle Ricks, DPM

NPI #1548291263 in Modesto, California

Provider Information

NPI Number: 1548291263
Entity Type: Individual
Name: DR. Marvin Daryle Ricks, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Jul 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1601 MCHENRY VILLAGE WAY STE 3
City: Modesto
State: California
ZIP Code: 95350-4338
Phone: (209) 526-3907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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