IndividualActive
Robert Ricketson, MD
NPI 1932968872 · Medical Microbiology Physician · Edmond, OK
Provider details
- NPI number
- 1932968872
- Entity type
- Individual
- Primary specialty
- Medical Microbiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 16569 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
19 W Edwards St
Edmond, OK 73003-5272
Phone: (405) 821-2375
Approximate (ZIP-level) locationGet directions
Mailing address
19 W Edwards St
Edmond, OK 73003-5272
Registry dates
- Enumerated
- 2024-03-14
- Last updated
- 2024-03-14
- Certified
- 2024-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.