Individual
DR. DEBRA S WICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15810 S 45TH ST STE 105, PHOENIX, AZ 85048-7695
(480) 827-5390
(602) 521-5701
Mailing address
15810 S 45TH ST STE 105, PHOENIX, AZ 85048-7695
(480) 827-5390
(602) 521-5701
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
26444
AZ
207VG0400X
Gynecology Physician
Primary
26444
AZ
Other
Enumeration date
10/06/2006
Last updated
04/04/2023
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