DR. Douglas Robert Ricks, O.D.

NPI #1578871265 in Union Gap, Washington

Provider Information

NPI Number: 1578871265
Entity Type: Individual
Name: DR. Douglas Robert Ricks, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 16, 2010
Last Updated: Apr 15, 2012

Practice Location

Address: 2310 LONGFIBRE AVE
City: Union Gap
State: Washington
ZIP Code: 98903-1513
Phone: (509) 454-5253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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