| Doctor Name: | MEGAN GOODELL RICCI |
| NPI Number: | 1013980572 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 1330 |
| Business Practice Address: | 3820 N Grant Ave Loveland, CO - 805388412 |
| Business Phone Number: | 9705931177 |
| Business Fax Number: | 9705930460 |
| Mailing Address: | 1120 E Elizabeth St, F-101 FORT COLLINS |
| State: | CO |
| Postal Code: | 805244044 |
| Phone Number: | 9702211177 |
| Fax Number: | 9704161969 |
| NPI Enumeration Date: | 02/07/2006 |
| NPI Last Update Date: | 07/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1330 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |