Organization
DEAN S RICKETTS MD INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN S RICKETTS MD (PRESIDENT)
(425) 454-5344
Entity
Organization
Contact information
Practice address
1231 116TH AVE NE, SUITE 100, BELLEVUE, WA 98004-3804
(425) 454-5344
(425) 462-0763
Mailing address
1231 116TH AVE NE, SUITE 100, BELLEVUE, WA 98004-3804
(425) 454-5344
(425) 462-0763
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17532
WA
Other
Enumeration date
07/02/2008
Last updated
09/23/2008
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