Individual
ANDREW G HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7767 W DEER VALLEY RD, PEORIA, AZ 85382-2103
(623) 487-3003
(623) 889-0971
Mailing address
7767 W DEER VALLEY RD, PEORIA, AZ 85382-2103
(623) 487-3003
(623) 889-0971
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5511
AZ
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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