Individual
CHRISTOPHER RICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1735 N STATE ST, PROVO, UT 84604-1010
(801) 374-1818
(801) 374-0163
Mailing address
1735 N STATE ST, PROVO, UT 84604-1010
(801) 374-1818
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1014225-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255727905
—
TX
Enumeration date
04/09/2015
Last updated
11/27/2023
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