Individual
JEFFERSON LEWIS HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10103 RIDGEGATE PKWY STE 306, LONE TREE, CO 80124-5525
(303) 225-8120
(303) 225-8130
Mailing address
10103 RIDGEGATE PKWY, STE 306, LONE TREE, CO 80124-5525
(303) 225-8120
(303) 225-8130
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0004557
CO
Other
Enumeration date
08/15/2014
Last updated
07/21/2022
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