Individual
MS. HOLLIS ANNE RICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2000 CIRCLE OF HOPE DR, BONE MARROW TRANSPLANT, CLINIC 2C, SALT LAKE CITY, UT 84112-5550
(801) 585-2626
(801) 581-4115
Mailing address
PO BOX 413033, BONE MARROW TRANSPLANT, CLINIC 2C, SALT LAKE CITY, UT 84141-3033
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9139148-1206
UT
Other
Enumeration date
08/29/2014
Last updated
11/15/2021
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