Individual provider · Type 1 NPI

Matthew Ryan Hicks, PA-C

Medical Physician Assistant · Fort Carson, CO

NPI number 1508101627 Active

Practice location

1650 Cochrane Cir
Fort Carson, CO 80913-4613

Call (205) 267-9694 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1508101627

Matthew Ryan Hicks, PA-C's National Provider Identifier is 1508101627, issued on Nov 29, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Carson, CO. The record was last updated on Oct 21, 2016.