Individual
DR. STEPHEN BRADLEY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3344 N FUTRALL DR, FAYETTEVILLE, AR 72703
(479) 582-7230
(479) 582-7329
Mailing address
P.O. BOX 550, LOWELL, AR 72745
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
62539
MN
207RG0100X
Gastroenterology Physician
Primary
E-15542
AR
Other
Enumeration date
04/12/2016
Last updated
10/25/2024
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