Individual
DR. NATHAN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N CURTIS ROAD, BOISE, ID 83706
(208) 367-7350
(208) 367-3951
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-7350
(208) 367-3951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-13197
ID
207R00000X
Internal Medicine Physician
M13197
ID
Other
Enumeration date
06/04/2013
Last updated
08/18/2016
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