Individual
JANE H. RICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1440 SUNNYSIDE AVE, SALT LAKE CITY, UT 84105-1631
(801) 891-4875
Mailing address
PO BOX 1557, DRAPER, UT 84020-1557
(801) 891-4875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
184829-1205
UT
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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