Individual
RIKKI J SCOGGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
(580) 421-6283
Mailing address
1925 WARRIOR WAY, ADA, OK 74820-3491
(580) 421-4570
(580) 421-6283
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21536
OK
207Q00000X
Family Medicine Physician
Primary
M7065
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100228960A
—
OK
01
—
1023028669
GROUP NUMBER
TX
Enumeration date
08/16/2006
Last updated
07/10/2024
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