Individual
JUSTIN JAMES HICKS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 LOCUST ST, PITTSBURGH, PA 15219-5114
(724) 720-3072
Mailing address
1400 LOCUST ST, PITTSBURGH, PA 15219-5114
(724) 720-3072
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2018019723
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
323318
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD486379
PA
Other
Enumeration date
06/24/2018
Last updated
09/25/2024
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