Individual provider · Type 1 NPI

Jefferson Lewis Hicks, PA

Surgical Physician Assistant · Lone Tree, CO

NPI number 1083013064 Active

Practice location

10103 Ridgegate Pkwy Ste 306
Lone Tree, CO 80124-5525

Call (303) 225-8120 Map

Fax (303) 225-8130

Mailing address

10103 Ridgegate Pkwy, Ste 306
Lone Tree, CO 80124-5525

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X0004557 (CO)

Surgical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1083013064

Jefferson Lewis Hicks, PA's National Provider Identifier is 1083013064, issued on Aug 15, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lone Tree, CO. The record was last updated on Jul 21, 2022.