Edward A Ricketts, MD

NPI #1215079710 in Hermiston, Oregon

Provider Information

NPI Number: 1215079710
Entity Type: Individual
Name: Edward A Ricketts, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Feb 12, 2007
Last Updated: Sep 28, 2007

Practice Location

Address: 600 NW 11TH ST
Address 2: SUITE109
City: Hermiston
State: Oregon
ZIP Code: 97838-8602
Phone: (541) 567-5075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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