Individual
MR. ROBERT THOMAS WICKS
Active
Individual
MR. ROBERT THOMAS WICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
55781
AZ
207T00000X
Neurological Surgery Physician
Primary
ME151082
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369049
—
AZ
Enumeration date
05/02/2011
Last updated
07/22/2021
Update your record
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