Individual
DR. SCOT G HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-1700
(314) 362-9878
Mailing address
660 S EUCLID AVE, C B 8125, SAINT LOUIS, MO 63110-1010
(314) 362-1700
(314) 362-9878
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
R7570
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114976818
—
MO
05
—
ENROLLED
—
IL
Enumeration date
05/09/2006
Last updated
01/24/2018
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