Organization
COAST TO COAST HEALTHCARE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CARL HICKS MD (COO)
(614) 855-9961
Entity
Organization
Contact information
Practice address
5195 HAMPSTED VILLAGE CENTER WAY STE 256, NEW ALBANY, OH 43054-8331
(614) 855-9961
(801) 214-1946
Mailing address
5195 HAMPSTED VILLAGE CENTER WAY STE 256, NEW ALBANY, OH 43054-8331
(614) 855-9961
(801) 214-1946
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
12/27/2013
Last updated
12/01/2014
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