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Individual
MARI A RICKER
Active
Individual
MARI A RICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
MD25245
AZ
207Q00000X
Family Medicine Physician
Primary
MD25245
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023146
—
OR
01
—
49518
MEDICAL LICENSE
AZ
01
—
P00604911
RR MEDICARE
OR
Enumeration date
05/28/2006
Last updated
01/22/2025
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