Search › Arizona › 163W00000X
Mark Rico
NPI 1710385612 · on the registry since 2014
Practice
- Address
- 17593 W Polaris Dr
Goodyear, AZ 85338 - Phone
- (602) 686-3990
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona