Individual
JEFFRY REED RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1791 E 280 N, ST GEORGE, UT 84790-2400
(435) 656-2020
(435) 634-2646
Mailing address
1791 E 280 N, ST GEORGE, UT 84790-2400
(435) 656-2020
(435) 634-2646
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
112865-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187159925
—
UT
Enumeration date
06/21/2005
Last updated
01/03/2024
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