Individual
CALVIN J RICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1593
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1593
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00028902
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021561
—
WA
Enumeration date
12/10/2005
Last updated
07/21/2022
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