Individual
MELISSA RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 655-6600
Mailing address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 655-6600
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
12351552-1206
UT
Other
Enumeration date
02/05/2014
Last updated
12/03/2025
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