Provider Demographics
NPI:1629040662
Name:RICKMAN, ALLAN F (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:F
Last Name:RICKMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2539 MEDICAL DR
Mailing Address - Street 2:SUITE110 COMPLEX A
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-8720
Mailing Address - Country:US
Mailing Address - Phone:575-434-2116
Mailing Address - Fax:575-434-2051
Practice Address - Street 1:2539 MEDICAL DR
Practice Address - Street 2:SUITE110 COMPLEX A
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310
Practice Address - Country:US
Practice Address - Phone:575-434-2116
Practice Address - Fax:575-434-2051
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM90-282207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM201008276OtherPRESBYTERIAN
NMNM011755OtherBLUE CROSS BLUE SHIELD
NM000L1222Medicaid
NM000L1222Medicaid