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Individual

BRYAN HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
3500 BOSTON ST STE J1, BALTIMORE, MD 21224-5723
(410) 522-0001
(410) 522-0017
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 822-4355
(410) 522-0017

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003129
MD

Other

Enumeration date
06/01/2006
Last updated
02/23/2022
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