Individual
ALISON PEARL HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-1411
Mailing address
9002 N MERIDIAN ST, INDIANAPOLIS, IN 46260-5381
(317) 844-5530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002862A
IN
Other
Enumeration date
12/16/2019
Last updated
03/18/2020
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