Matthew Ryan Hicks, PA-C
NPI #1508101627 in Fort Carson, Colorado
Provider Information
- NPI Number
- 1508101627
- Entity Type
- Individual
- Name
- Matthew Ryan Hicks, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Nov 29, 2012
- Last Updated
- Oct 21, 2016
Practice Location
- Address
- 1650 COCHRANE CIR
- City
- Fort Carson
- State
- Colorado
- ZIP Code
- 80913-4613
- Phone
- (205) 267-9694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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