Randel Sterling Hicks OD

NPI 1164531109 - Optometrist - 152W00000X

NPI Details
NPI 1164531109
Gender Male
Enumeration Date 08/30/2006
Last Updated 02/08/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
3200 SW 89TH ST
OKLAHOMA CITY OK, 73159-7902, US
Phone (405) 692-2526
Fax (405) 692-2187
Business Location
3200 SW 89TH ST
OKLAHOMA CITY OK, 73159-7902, US
Phone (405) 692-2526
Fax (405) 692-2187
Toxanomy
Taxonomy Code 152W00000X
License State Oklahoma
License Number 923
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According to our database, Randel Sterling Hicks OD NPI is 1164531109, taxonomy code is 152W00000X and license number is 923, license state is located at Oklahoma. Randel Sterling Hicks OD physically located at 3200 Sw 89th St, Oklahoma City OK, 73159-7902. NPI Number Randel Sterling Hicks OD has the Individual type.

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1164531109 NPI number is provided on an as is basis without warranty of any kind. 1164531109 is maintained by the National Plan & Provider Enumeration System. The contents of Randel Sterling Hicks OD are for informational purposes only.