# AIA,PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770952939
- **Authorized official:** MR. DAVID BARTON HICKMAN CRNA (PRESIDENT)
- **Authorized official phone:** (435) 553-9345

## Contact information

- **Practice address:** 113 ADKINS CT, CLOVIS, NM 88101-9373
- **Practice address phone:** (435) 553-9345
- **Practice address fax:** (575) 356-8516
- **Mailing address:** 113 ADKINS CT, CLOVIS, NM 88101-9373
- **Mailing address phone:** (435) 553-9345
- **Mailing address fax:** (575) 356-8516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | CRNA-01248 | NM | Yes |

## Other

- **Enumeration date:** 09/17/2015
- **Last updated:** 09/17/2015