Individual
RICHARD EARL RICKLEY JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
1060 GAFFNEY ROAD #7440, COMMANDER, USA-MEDDAC-AK, ATTN: MCUC-MMD-QM, FT. WAINWRIGHT, AK 99703-4845
(907) 353-5418
(907) 353-4845
Mailing address
1060 GAFFNEY ROAD #7440, COMMANDER, USA-MEDDAC-AK, ATTN: MCUC-MMD-QM, FT. WAINWRIGHT, AK 99703-4845
(907) 353-5418
(907) 353-4845
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
25011
AK
163W00000X
Registered Nurse
R150185
MD
163W00000X
Registered Nurse
RN527259L
PA
Other
Enumeration date
11/29/2005
Last updated
07/08/2007
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