Fred W Hickle, P.A.

NPI #1922299643 in Latrobe, Pennsylvania

Provider Information

NPI Number: 1922299643
Entity Type: Individual
Name: Fred W Hickle, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Aug 7, 2007
Last Updated: Aug 7, 2007

Practice Location

Address: 1005 LIGONIER ST
City: Latrobe
State: Pennsylvania
ZIP Code: 15650-1832
Phone: (724) 532-1020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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