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Zachary Hicks, DO
General Practice Physician in Travis Afb, California
NPI 1225604036

Zachary Hicks is a General Practice Physician based in Travis Afb, CA. Zachary Hicks practices in Travis Afb, CA and has the professional credentials of DO. The NPI Number for Zachary Hicks is 1225604036 and holds a License No. 02007276A (California).

The current practice location address for Zachary Hicks is 101 Bodin Cir Unit 777, Travis Afb, CA and can be reached out via phone at 501-207-3141.

Location: 101 Bodin Cir Unit 777, Travis Afb, CA, 94535-1143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225604036
Provider Name
Zachary Hicks
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
101 Bodin Cir Unit 777, Travis Afb, CA, 94535-1143
Phone Number
501-207-3141
Fax Number
Provider Enumeration Date
06/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Bodin Cir Unit 777
City
Travis Afb
State
California
Zip
94535-1809
Phone Number
501-207-3141
Fax Number
person
Provider Business Mailing Address Details
Address
101 Bodin Cir Unit 777
City
Travis Afb
State
California
Zip
94535-1809
Phone Number
501-207-3141
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
02007276A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
02007276A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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