Colin R Hickenlooper, PA-C

NPI #1972550192 in Flagstaff, Arizona

Provider Information

NPI Number: 1972550192
Entity Type: Individual
Name: Colin R Hickenlooper, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 31, 2006
Last Updated: Aug 12, 2022

Practice Location

Address: 823 N SAN FRANCISCO ST STE A
City: Flagstaff
State: Arizona
ZIP Code: 86001-3265
Phone: (520) 244-0089

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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