Travis Hicks

NPI #1952605370 in Beaver, Utah

Provider Information

NPI Number: 1952605370
Entity Type: Individual
Name: Travis Hicks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Dec 28, 2010
Last Updated: Nov 30, 2012

Practice Location

Address: 1059 N 100 W
City: Beaver
State: Utah
ZIP Code: 84713-1690
Phone: (435) 438-7280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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