Individual
CANDACE D HICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3831 PIPER ST, SUITE S450, ANCHORAGE, AK 99508-4672
(907) 258-6999
(907) 258-9470
Mailing address
3831 PIPER ST, SUITE S450, ANCHORAGE, AK 99508-4672
(907) 258-6999
(907) 258-9470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1995
AK
363AS0400X
Surgical Physician Assistant
Primary
1995
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1570498
—
AK
01
—
1995
STATE LICENSE
AK
Enumeration date
10/21/2008
Last updated
11/15/2013
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