Individual
DR. MICHAEL DAVID HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1900 ELECTRIC RD, SALEM, VA 24153
(540) 776-4000
Mailing address
4504 STARKEY RD STE 200, ROANOKE, VA 24018-8535
(540) 772-4344
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0102205163
VA
Other
Enumeration date
06/13/2013
Last updated
07/05/2018
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