Phillip Hicks

Anesthesiology Physician · Clinton, MO

Individual Active NPI

NPI number 1063563864

Practice location

1600 N 2ND St
Clinton, MO 64735-1192
Phone
(660) 890-7103

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NPI record

NPI
1063563864
Entity type
Individual (Type 1)
Enumeration date
January 16, 2007
Last updated
August 18, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiology Physician Primary 207L00000X 122530 MO

Mailing address

2003 Epicurean Dr
Clinton, MO 64735-1887
Phone
(660) 890-7103
Fax
(660) 885-8496

About Phillip Hicks

Phillip Hicks is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiology Physician (code 207L00000X). The practice location is 1600 N 2ND St, Clinton, MO 64735-1192. The NPI number 1063563864 was assigned on January 16, 2007 and the record was last updated on August 18, 2010.

Phillip Hicks lists a license in the registry: #122530 (MO) for Anesthesiology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Phillip Hicks?

The NPI number is 1063563864.

What is the phone number of Phillip Hicks?

The phone number listed for the practice location is (660) 890-7103.

Where is Phillip Hicks located?

1600 N 2ND St, Clinton, MO 64735-1192.

What is the taxonomy code for Phillip Hicks?

The primary taxonomy code is 207L00000X – Anesthesiology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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