Individual
MR. HOWARD RANDALL HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4060 4TH AVE, #615, SAN DIEGO, CA 92103
(619) 298-7135
(619) 298-2461
Mailing address
4060 4TH AVE, #615, SAN DIEGO, CA 92103
(619) 298-7135
(619) 298-2461
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G047439
CA
Other
Enumeration date
08/20/2006
Last updated
11/05/2010
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