person
Dr. Edson Conrad Hicks JR., MD
Specialist in Phoenix, Arizona
NPI 1407076201

Edson Conrad Hicks JR. is a Specialist based in Casa Grande, AZ. Edson Conrad Hicks JR. practices in Phoenix, AZ and has the professional credentials of MD. The NPI Number for Edson Conrad Hicks JR. is 1407076201 and holds a License No. 29616 (Arizona).

The current practice location address for Edson Conrad Hicks JR. is 4221 E Chandler Blvd Ste 119, Phoenix, AZ and can be reached out via phone at 480-223-1901 and via fax at 480-393-6930.

Location: 4221 E Chandler Blvd Ste 119, Phoenix, AZ, 85230-2293
person
Provider Profile Details
NPI Number
1407076201
Provider Name
Edson Conrad Hicks JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4221 E Chandler Blvd Ste 119, Phoenix, AZ, 85230-2293
Phone Number
480-223-1901
Fax Number
480-393-6930
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4221 E Chandler Blvd Ste 119
City
State
Zip
85048-8878
Phone Number
480-223-1901
Fax Number
480-393-6930
person
Provider Business Mailing Address Details
Address
4221 E Chandler Blvd Ste 119
City
State
Zip
85048-8878
Phone Number
480-223-1901
Fax Number
480-393-6930
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
29616 (Arizona)
Definition
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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