Individual
ROBERT RICKETSON V
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 W EDWARDS ST, EDMOND, OK 73003-5272
(405) 821-2375
Mailing address
19 W EDWARDS ST, EDMOND, OK 73003-5272
(405) 821-2375
Taxonomy
Speciality
Code
Description
License number
State
207ZM0300X
Medical Microbiology Physician
Primary
16569
OK
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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