MS. MARCIA RICKETSON, P.A.C.
Physician Assistant
Active
Individual
NPI: 1720010416
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 710 (OK) |
Frequently Asked Questions
NPI 1720010416 is the National Provider Identifier for MS. MARCIA RICKETSON, P.A.C., a Physician Assistant provider located in Moore, OK. This NPI was enumerated on July 6, 2006.
MS. MARCIA RICKETSON, P.A.C. practices at 216 NE 12TH ST, Moore, OK 73160.
Quick Facts
- NPI
- 1720010416
- Type
- Individual
- Enumerated
- Jul 6, 2006
- Last Updated
- Jun 17, 2009
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