NPI 1063563864

Phillip Hicks

Practitioner Anesthesiology Physician Clinton, MO

Practice location

Address: 1600 N 2nd St, Clinton, MO 64735-1192
Phone: (660) 890-7103
Mailing address: 2003 Epicurean Dr, Clinton, MO 64735-1887

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 122530 (MO)

Other Anesthesiology providers in Missouri →

Registry record

NPI: 1063563864
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jan 2007
Record last updated: 18 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.