Individual
PAUL ANDREW RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113 GAINSBOROUGH SQ STE 202, CHESAPEAKE, VA 23320-1714
(757) 627-6416
(757) 627-3709
Mailing address
113 GAINSBOROUGH SQ STE 101, CHESAPEAKE, VA 23320-1713
(757) 436-3285
(757) 436-2262
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101251578
VA
207RG0100X
Gastroenterology Physician
036122994
IL
Other
Enumeration date
12/19/2007
Last updated
05/29/2019
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