Individual
DR. PETER LORNE CONRAD HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2300 GREAT NORTHERN AVE, SUITE B, MISSOULA, MT 59808-1678
(406) 549-7171
(406) 549-6868
Mailing address
2300 GREAT NORTHERN AVE, SUITE B, MISSOULA, MT 59808-1678
(406) 549-7171
(406) 549-6868
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1142
MS
111N00000X
Chiropractor
Primary
1207
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336309731
NPI
MT
01
—
1861759011
NPI
MT
Enumeration date
06/10/2008
Last updated
09/22/2014
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