Individual
MATTHEW RYAN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(205) 267-9694
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(205) 267-9694
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/29/2012
Last updated
10/21/2016
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