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Individual

JARRED HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1400 E BOULDER ST STE 2508, COLORADO SPRINGS, CO 80909
(719) 365-6999
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4034

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9538403-1205
UT
207L00000X
Anesthesiology Physician
DR.0060573
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/27/2014
Last updated
06/12/2018
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