Individual
JACK E HICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-3300
Mailing address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2314
AK
Other
Enumeration date
08/17/2006
Last updated
07/09/2014
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