Phillip Hicks

NPI 1063563864 · on the registry since 2007

Practice

Address: 1600 N 2nd St
Clinton, MO 64735
Phone: (660) 890-7103
Organisation at this address: Mo-I Medical Services Llc
Henry Emergency Group Llc
Revive Medical Group, P.C.
Henry Physician Services Llc
Golden Valley Memorial Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 59

Registry record

Primary taxonomy: 207L00000X
207L00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri