Individual
DR. DONALD E. HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 HOSPITAL DR, SUITE 225, LEBANON, MO 65536-9238
(417) 533-6710
(417) 533-6719
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
114220
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209680107
—
MO
Enumeration date
11/13/2006
Last updated
07/17/2008
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