Individual
DANIEL B RICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(706) 863-9595
(706) 447-7184
Mailing address
PO BOX 12358, AUGUSTA, GA 30914-2358
(706) 863-9595
(706) 447-7184
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
138794
AK
363A00000X
Physician Assistant
Primary
PA-1246
ID
Other
Enumeration date
11/14/2007
Last updated
05/20/2022
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