MS. Marcia Jean Ricketson, P.A.C.

NPI #1720010416 in Moore, Oklahoma

Provider Information

NPI Number: 1720010416
Entity Type: Individual
Name: MS. Marcia Jean Ricketson, P.A.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: P.A.C.
Enumeration Date: Jul 6, 2006
Last Updated: Jun 17, 2009

Practice Location

Address: 216 NE 12TH ST
City: Moore
State: Oklahoma
ZIP Code: 73160-5830
Phone: (405) 794-2530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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