Individual
DR. ROBB R HICKS IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 JUNGERMANN RD STE 203, SAINT PETERS, MO 63376
(314) 680-1632
(888) 955-9047
Mailing address
500 JUNGERMANN RD STE 203, SAINT PETERS, MO 63376-2774
(314) 680-1632
(888) 955-9047
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
R2J89
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E48148
UPIN
MO
Enumeration date
01/31/2006
Last updated
09/08/2018
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