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Contact Information

CHRISTOPHER RICKS, MD
1735 N STATE ST
PROVO, UT84604-1010
 Phone: 801-374-1818
 Fax: 801-374-0163
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for CHRISTOPHER RICKS · (Male)

NPI Number 1255727905
Status Active
Credentials MD
Entity Individual
Enumeration date 04/09/2015
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 1014225-1205
  • TX Medicaid 1255727905
Hospital affiliation(s)
  • GUNNISON VALLEY HOSPITAL - (Critical Access)
    64 EAST 100 NORTH
    GUNNISON, UT 84634
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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