Larry Charles Hicks is a Surgical Physician Assistant based in Modesto, CA and is specialized in Surgical. Larry Charles Hicks practices in Modesto, CA and has the professional credentials of PA. The NPI Number for Larry Charles Hicks is 1568453801 and holds a License No. (California).
The current practice location address for Larry Charles Hicks is 1441 Florida, Modesto, CA and can be reached out via phone at 209-576-3999. You can also correspond with Larry Charles Hicks through the mailing address at 4301 NORTHSTAR WAY, MODESTO, CA - 95356-9262 (mailing address contact number: 209-342-2300).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CD069A | 01 | CA | GROUP PTAN |
| OPA108440 | 01 | CA | BLUE SHIELD |
| OPA108440 | 05 | CA |
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