Individual
CHRISTOPHER PAUL HICKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10720 E SOUTHERN AVE, SUITE 116, MESA, AZ 85209-3810
(480) 365-0050
(480) 365-0049
Mailing address
PO BOX 115, SACATON, AZ 85147-0002
(520) 796-2600
(602) 528-1296
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31655
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31655
ARIZONA STATE LICENSE
AZ
Enumeration date
10/25/2006
Last updated
08/19/2021
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