Individual
JAMES ALAN HICKOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2523 E BRIDGEPORT PKWY, GILBERT, AZ 85295-2357
(419) 410-8174
Mailing address
2523 E BRIDGEPORT PKWY, GILBERT, AZ 85295-2357
(419) 410-8174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F12210273
AZ
Other
Enumeration date
12/12/2021
Last updated
12/12/2021
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