Female

Mrs. Angela M. Rickard PA-C

Physician Assistant in Canton, OH(View on Map)

Full Name

Mrs. Angela M Rickard PA-C

NPI Number

1629306022

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/23/2009

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Ohio
Pennsylvania
Pennsylvania

License Number

002995
MA054059
OA002403

Contact
Information

Purpose

Mailing
Location

Address

4105 HOLIDAY ST NW
4105 HOLIDAY ST NW

City

Canton
Canton

State

OH
OH

Postal Code

44718-2531
44718-2531

Country

US
US

Telephone Number

(330) 494-2097
(330) 494-2097

Identifiers

Identifier

P00818083

Identifier State

OH

Identifier Issuer

RAILROAD MEDICARE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/17/2014

Provider Address

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