Individual
DR. TERRY R HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 343-7262
(605) 343-7293
Mailing address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 343-7262
(605) 343-7293
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2472
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006262
BCBS
SD
05
—
7100940
—
SD
Enumeration date
10/18/2005
Last updated
01/05/2015
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