| Denali Tice Md Inc. | |
|
1024 Iron Point Rd Folsom CA 95630-8013 | |
| (916) 400-9037 | |
| Not Available |
| Full Name | Denali Tice Md Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1024 Iron Point Rd, Folsom, California |
| Authorized Official Name and Position | Denali Tice (PRESIDENT) |
| Authorized Official Contact | 9164009037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denali Tice Md Inc. Po Box 803 Folsom CA 95763-0803 Ph: (916) 400-9037 | Denali Tice Md Inc. 1024 Iron Point Rd Folsom CA 95630-8013 Ph: (916) 400-9037 |
| NPI Number | 1669155842 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/14/2023 |
| Certification Date | 08/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669155842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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