Dr. Gordon Marvin Rick
Oral and Maxillofacial Pathology
5190 Governor Dr Suite 106
San Diego
, California 92122-2847
Dr. Gordon Marvin Rick
Oral and Maxillofacial Pathology
5190 Governor Dr Suite 106
San Diego
, California 92122-2847
(858) 784-0604
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Gordon Marvin Rick
- 5190 Governor Dr Suite 106
- San Diego, CA
- Zip : 92122-2847
- Fax : (858) 784-0604
- Phone : (858) 784-0600
Second Address
- Dr. Gordon Marvin Rick
- 5190 Governor Dr Suite 106
- San Diego, CA
- Zip : 92122-2847
- Fax : (858) 784-0604
- Phone : (858) 784-0600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 20041 | CA |
National Provider Identifier
| NPI | 1679693550 |
|---|---|
| Provider Name | Dr. Gordon Marvin Rick |
| First Address | San Diego, CA 92122-2847 |
| Second Address | San Diego, CA 92122-2847 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/04/2007 |
| Last Update Date | 14/03/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.