Individual
DANIELLE MARIE RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2700 S HIGHWAY 191 STE 2, MOAB, UT 84532-3443
(435) 259-4466
Mailing address
2700 S HIGHWAY 191 STE 2, MOAB, UT 84532-3443
(435) 259-4466
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10992609-1206
UT
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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