Individual
DR. ALISABETH A. THURSTON-HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-2351
(719) 269-9386
Mailing address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-2351
(719) 269-9386
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35129
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01351295
—
CO
Enumeration date
01/04/2007
Last updated
07/08/2007
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