Gordon Marvin Rick in San Diego - Oral And Maxillofacial Pathology

Gordon Marvin Rick - NPI 1679693550

Gordon Marvin Rick is a Oral And Maxillofacial Pathology in San Diego, California. Gordon Marvin Rick practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Gordon Marvin Rick is 1679693550. The last update date is 2008-03-14.

Gordon Marvin Rick's current location address is 5190 Governor Dr, San Diego, California. You can contact this provider via phone number 8587840600 and fax number 8587840604. The mailing address for Gordon Marvin Rick is 5190 Governor Dr, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Gordon Marvin Rick
Address 5190 Governor Dr, San Diego, California
Phone Number 8587840600
Fax Number 8587840604
Sole Proprietor Y
Credentials DDS, MS

NPI Number Detail

NPI Number 1679693550
Provider Enumeration Date 2007-04-02
Last Updated Date 2008-03-14

Provider Mailing Address Detail

Address 5190 Governor Dr
City San Diego
State California (CA)
Post Code 921222847
Phone Number 8587840600
Fax Number 8587840604

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No 20041
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

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FAQs about Gordon Marvin Rick

What is the Gordon Marvin Rick's 1679693550?

The Gordon Marvin Rick's NPI (National Provider Identifier) Number is 1679693550. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Gordon Marvin Rick's facilities are situated?

The facilities of Gordon Marvin Rick are physically located at the following address: 5190 Governor Dr, San Diego, CA, 921222847.

What is Gordon Marvin Rick's specialized field of practice, and what is the corresponding taxonomy classification code?

The Gordon Marvin Rick's area of specialization is Oral And Maxillofacial Pathology, and the corresponding taxonomy code that categorizes this field of practice is 1223P0106X.

On what date did Gordon Marvin Rick receive its 1679693550 assignment from the Centers for Medicare & Medicaid Services?

The Gordon Marvin Rick was assigned its 1679693550 on 2007-04-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Gordon Marvin Rick most recently updated or revised?

The details related to Gordon Marvin Rick, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-14.

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