Individual
ADAM D. HICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 W BONITA AVE, 100, POMONA, CA 91767-1865
(909) 623-3428
(909) 622-1923
Mailing address
210 W BONITA AVE, 100, POMONA, CA 91767-1865
(909) 623-3428
(909) 622-1923
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A107318
CA
Other
Enumeration date
05/03/2007
Last updated
07/15/2014
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