Individual provider · Type 1 NPI

Edson Conrad Hicks Jr., MD

Specialist · Phoenix, AZ

NPI number 1407076201 Active

Practice location

4221 E Chandler Blvd Ste 119
Phoenix, AZ 85048-8878

Call (480) 223-1901 Map

Fax (480) 393-6930

Mailing address

PO Box 12293
Casa Grande, AZ 85230-2293

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X29616 (AZ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1407076201

Edson Conrad Hicks Jr., MD's National Provider Identifier is 1407076201, issued on Apr 26, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.