Edson Hicks, MD

NPI 1407076201 · on the registry since 2007 · sole proprietor

Practice

Address: 4221 E Chandler Blvd Ste 119
Phoenix, AZ 85048
Phone: (480) 223-1901
Fax: (480) 393-6930
Organisation at this address: True Sport Usa, Llc
Empowerment Technologies Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 Arizona