Provider Demographics
NPI:1023104460
Name:RICE, RALPH WILSON JR (PAC)
Entity type:Individual
Prefix:MR
First Name:RALPH
Middle Name:WILSON
Last Name:RICE
Suffix:JR
Gender:M
Credentials:PAC
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Mailing Address - Street 1:100176 UNIVERSITY OF FLORIDA
Mailing Address - Street 2:SCHOOL OF PHYSICIAN ASSISTANT STUDIES
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0001
Mailing Address - Country:US
Mailing Address - Phone:352-265-7955
Mailing Address - Fax:
Practice Address - Street 1:1329 SW 16TH ST
Practice Address - Street 2:SUITE 1160
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1128
Practice Address - Country:US
Practice Address - Phone:352-265-7955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2013-04-25
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant