Brendan Riley Hicks

NPI #1497327134 in Palisade, Colorado

Provider Information

NPI Number: 1497327134
Entity Type: Individual
Name: Brendan Riley Hicks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 13, 2021
Last Updated: Jul 13, 2021

Practice Location

Address: 614 MOSS WAY
City: Palisade
State: Colorado
ZIP Code: 81526-9238
Phone: (970) 314-1117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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