Robert Ricketts in Grand Junction - Family Medicine
Robert Ricketts - NPI 1720069123
Robert Ricketts is a Family Medicine in Grand Junction, Colorado. Robert Ricketts practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Robert Ricketts is 1720069123. The last update date is 2011-08-05.
Robert Ricketts's current location address is 3150 N. 12th St., Grand Junction, Colorado. You can contact this provider via phone number 9702451220 and fax number 9702542398. The mailing address for Robert Ricketts is 3150 N. 12th St., Grand Junction, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Ricketts |
|---|---|
| Address | 3150 N. 12th St., Grand Junction, Colorado |
| Phone Number | 9702451220 |
| Fax Number | 9702542398 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720069123 |
|---|---|
| Provider Enumeration Date | 2005-11-11 |
| Last Updated Date | 2011-08-05 |
Provider Mailing Address Detail
| Address | 3150 N. 12th St. |
|---|---|
| City | Grand Junction |
| State | Colorado (CO) |
| Post Code | 815025517 |
| Phone Number | 9702451220 |
| Fax Number | 9702542398 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 45606 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 72854065 | CO | -- |
Post Comment/ Review Below
What is the Robert Ricketts's 1720069123?
The Robert Ricketts's NPI (National Provider Identifier) Number is 1720069123. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Robert Ricketts's physical address?
The Robert Ricketts is physically located at 3150 N. 12Th St., in the city of Grand Junction, CO, with the postal code 815025517.
What is Robert Ricketts's area of expertise and its corresponding taxonomy classification?
The Robert Ricketts's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
When did Robert Ricketts receive its 1720069123 assignment?
The Robert Ricketts was assigned its 1720069123 on 2005-11-11, which is the date when this unique identifier was issued to the organization.
When was the information regarding Robert Ricketts, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Robert Ricketts, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-08-05.