Individual
MS. RIKI GIFFORD-FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
340 E 100 S, SALT LAKE CITY, UT 84111-1702
(801) 428-3500
(385) 227-8362
Mailing address
61 E CALBOURNE LN, SANDY, UT 84070-2045
(717) 817-1187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11656917-1206
UT
363A00000X
Physician Assistant
13080
MN
363A00000X
Physician Assistant
140757
AK
363A00000X
Physician Assistant
C5-0001079
DE
363A00000X
Physician Assistant
PAC0791
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073067823
—
UT
Enumeration date
08/10/2016
Last updated
03/01/2022
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