# JEFFREY WILLIAM RICKARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124229521
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 2825 | WI | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 46598 | UT | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 02/16/2024