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Colin R Hickenlooper, PA-C
Physician Assistant in Flagstaff, Arizona
NPI 1972550192

Colin R Hickenlooper is a Physician Assistant based in Flagstaff, AZ. Colin R Hickenlooper practices in Flagstaff, AZ and has the professional credentials of PA-C. The NPI Number for Colin R Hickenlooper is 1972550192 and holds a License No. 100369 (Arizona).

The current practice location address for Colin R Hickenlooper is 823 N San Francisco St Ste A, Flagstaff, AZ and can be reached out via phone at 520-244-0089 and via fax at 520-244-0089. You can also correspond with Colin R Hickenlooper through the mailing address at 900 N SWITZER CANYON DR APT 103, FLAGSTAFF, AZ - 86001-4830 (mailing address contact number: 907-538-6776).

Location: 823 N San Francisco St Ste A, Flagstaff, AZ, 86001-4830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972550192
Provider Name
Colin R Hickenlooper
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
823 N San Francisco St Ste A, Flagstaff, AZ, 86001-4830
Phone Number
520-244-0089
Fax Number
520-244-0089
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1020179 05 AK
institution
Provider Business Practice Location Address Details
Address
823 N San Francisco St Ste A
City
Flagstaff
State
Arizona
Zip
86001-3265
Phone Number
520-244-0089
Fax Number
520-244-0089
person
Provider Business Mailing Address Details
Address
900 N Switzer Canyon Dr Apt 103
City
Flagstaff
State
Arizona
Zip
86001-4830
Phone Number
907-538-6776
Fax Number
520-244-0089
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PADA547 (Alaska)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
100369 (Montana)
Definition
Definition to come...
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