Individual
ANN E. HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
560 SOUTH ELBERTA ROAD, EXETER, CA 93221
(559) 334-8527
Mailing address
PO BOX 1027, 560 SOUTH ELBERTA ROAD, EXETER, CA 93221
(559) 334-8527
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G46361
CA
207RC0000X
Cardiovascular Disease Physician
Primary
G46361
CA
208M00000X
Hospitalist Physician
G46361
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G463610
—
CA
Enumeration date
05/16/2006
Last updated
07/14/2015
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