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Individual

BENJAMIN J HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
827 S JACKSON ST, OSCEOLA, IA 50213-1666
(641) 342-2128
(641) 342-3179
Mailing address
827 S JACKSON ST, OSCEOLA, IA 50213-1666
(641) 342-2128
(641) 342-3179

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-39719
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124353099
IA
Enumeration date
10/12/2009
Last updated
02/27/2015
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