MS. Hollis Anne Ricker, PA-C

NPI #1093115727 in Salt Lake City, Utah

Provider Information

NPI Number: 1093115727
Entity Type: Individual
Name: MS. Hollis Anne Ricker, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 29, 2014
Last Updated: Nov 15, 2021

Practice Location

Address: 2000 CIRCLE OF HOPE DR
Address 2: BONE MARROW TRANSPLANT, CLINIC 2C
City: Salt Lake City
State: Utah
ZIP Code: 84112-5550
Phone: (801) 585-2626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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