DR. Edson Conrad Hicks JR., MD

NPI #1407076201 in Phoenix, Arizona

Provider Information

NPI Number
1407076201
Entity Type
Individual
Name
DR. Edson Conrad Hicks JR., MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
MD
Enumeration Date
Apr 26, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
4221 E CHANDLER BLVD STE 119
State
Arizona
ZIP Code
85048-8878
Phone
(480) 223-1901

Specialties & Taxonomy Codes

Specialty
Specialist

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