Individual
MAGEN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1005 COLLEGE VIEW DR, RIVERTON, WY 82501-2289
(307) 857-3488
Mailing address
1005 COLLEGE VIEW DR, RIVERTON, WY 82501-2289
(307) 857-3488
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TL9199
WY
207Q00000X
Family Medicine Physician
W1431
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
06/19/2026
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