Individual provider · Type 1 NPI

Stanley Michael Hicks, MD

Diagnostic Radiology Physician · Kelso, WA

NPI number 1336129451 Active

About NPI 1336129451

Stanley Michael Hicks, MD's National Provider Identifier is 1336129451, issued on Jan 17, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Kelso, WA. The record was last updated on Jul 9, 2007.