EDSON CONRAD HICKS

PHOENIX, AZ
NPI1407076201
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: AZ  29616)
Enumeration Date2007-04-26
Last Update Date2007-07-08
Business Address
Dr. EDSON CONRAD HICKS MD
4221 E CHANDLER BLVD STE 119
PHOENIX, AZ 85048-8878
Phone number: 480-223-1901
Mailing Address
Dr. EDSON CONRAD HICKS MD
PO BOX 12293
CASA GRANDE, AZ 85230-2293
Phone number: 480-223-1901
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