Individual
DR. RAEGAN J. HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 BROADWAY STE 270, SEATTLE, WA 98122-5392
(206) 625-0578
(206) 625-9184
Mailing address
PO BOX 840842, DALLAS, TX 75284-0842
(206) 625-0578
(206) 625-9184
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
117805
CA
207L00000X
Anesthesiology Physician
Primary
MD 60082423
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
WA
Enumeration date
03/06/2007
Last updated
10/20/2023
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