Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERON J RICKS, PA
ActiveDERON J RICKS, PA is a Physician Assistant healthcare provider located in IDAHO FALLS, Idaho. NPI 1639156573 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1639156573
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 30, 2005 (20.584720003539 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA216 (ID)
Practice Information
- Address
-
3100 CHANNING WAYSTE 115IDAHO FALLS, ID, 834041647Browse ID providers · Browse ZIP 83404
- Phone
- 2085354130
- Fax
- 2085354125
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| PHILIP C HESSE | PA | 1811975386 |
| JASON CHRISTOPHER JOYNER | PA-C | 1356310239 |
| MATTHEW R NELSON | PA C | 1649221912 |
| JOSEPH D ANDERSON | PA-C | 1386699833 |
| MATTHEW J MERZLOCK | PA-C | 1316985229 |
| JOEL B. WHITING | PAC | 1346259298 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.