Individual
DR. RALPH ELLSWORTH RICKEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FAAFM
Contact information
Practice address
1330 AMHERST ST, WINCHESTER, VA 22601-3000
(540) 722-2369
Mailing address
PO BOX 1146, MARTINSBURG, WV 25402-1146
(540) 869-0600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101051674
VA
207Q00000X
Family Medicine Physician
13077
WV
Other
Enumeration date
03/14/2006
Last updated
02/02/2016
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