Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT RICKETSON V, MD
Active Sole ProprietorMedical Microbiology · EDMOND, OK
Registration Details
- NPI Number
- 1932968872
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2024 (2.1074347406958 yrs)
- Last Updated
- Mar 14, 2024
- License
-
16569 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19 W EDWARDS STEDMOND, OK, 730035272Browse OK providers · Browse ZIP 73003
- Phone
- 4058212375
- Primary Specialty
-
Medical Microbiology
207ZM0300X
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.