Deron J Ricks in Idaho Falls - Physician Assistant
Deron J Ricks - NPI 1639156573
Deron J Ricks is a Physician Assistant in Idaho Falls, Idaho. Deron J Ricks practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Deron J Ricks is 1639156573. The last update date is 2007-07-08.
Deron J Ricks's current location address is Po Box 1647, Idaho Falls, Idaho. You can contact this provider via phone number 2085354130 and fax number 2085354125. The mailing address for Deron J Ricks is Po Box 1647, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deron J Ricks |
|---|---|
| Address | Po Box 1647, Idaho Falls, Idaho |
| Phone Number | 2085354130 |
| Fax Number | 2085354125 |
| Sole Proprietor | X |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1639156573 |
|---|---|
| Provider Enumeration Date | 2005-12-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1647 |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834041647 |
| Phone Number | 2085354130 |
| Fax Number | 2085354125 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA216 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA555 | ID | BLUE CROSS |
Post Comment/ Review Below
What is the Deron J Ricks's 1639156573?
The Deron J Ricks's NPI (National Provider Identifier) Number is 1639156573. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the Deron J Ricks's specialty and taxonomy code?
The Deron J Ricks's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
What is the area of specialization for Deron J Ricks, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Deron J Ricks is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Deron J Ricks's information last updated?
The Deron J Ricks's information was last updated on 2007-07-08.
When was the information pertaining to Deron J Ricks most recently updated or revised?
The details related to Deron J Ricks, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.