Individual
CHRISTIAN B RICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-3789
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(412) 647-6483
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD2019-0572
NM
390200000X
Student in an Organized Health Care Education/Training Program
MT201572
PA
Other
Enumeration date
06/11/2012
Last updated
10/14/2024
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