DERON RICKS, PA

Physician Assistant

Active Individual
NPI: 1639156573

Practice Address

3100 CHANNING WAY
STE 115
Idaho Falls, ID 83404

Phone: (208) 535-4130

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA216 (ID)

Frequently Asked Questions

NPI 1639156573 is the National Provider Identifier for DERON RICKS, PA, a Physician Assistant provider located in Idaho Falls, ID. This NPI was enumerated on December 30, 2005.
DERON RICKS, PA practices at 3100 CHANNING WAY, STE 115, Idaho Falls, ID 83404.

Quick Facts

NPI
1639156573
Type
Individual
Enumerated
Dec 30, 2005
Last Updated
Jul 8, 2007

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