Organization
RICCA NEUROSURGICAL CLINIC PLLC
Active
Organization
RICCA NEUROSURGICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY F. RICCA MD (MEMBER)
(870) 336-2100
Entity
Organization
Contact information
Practice address
701 WINDOVER ROAD, SUITE 400, JONESBORO, AR 72401
(870) 336-2100
(870) 336-2101
Mailing address
701 WINDOVER ROAD, SUITE 400, JONESBORO, AR 72401
(870) 336-2100
(870) 336-2101
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MC2473
AR
Other
Enumeration date
01/16/2007
Last updated
01/10/2011
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