DR. Stanley Michael Hicks, M.D.
NPI #1336129451 in Kelso, Washington
Provider Information
- NPI Number
- 1336129451
- Entity Type
- Individual
- Name
- DR. Stanley Michael Hicks, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Radiology - Diagnostic Radiology
- Credential
- M.D.
- Enumeration Date
- Jan 17, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 700 LINCOLN ST
- Address 2
- SUITE 100
- City
- Kelso
- State
- Washington
- ZIP Code
- 98626-1057
- Phone
- (360) 425-5131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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