H. Randall Hicks, M.d. Inc, H Randall Hicks Pres

NPI 1497056386 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1497056386
Enumeration Date 11/08/2010
Last Updated 03/04/2014
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name H. RANDALL H. RANDALL
Position PRESIDENT & CEO
Phone (619) 298-7135
Fax (858) 874-8837
Practice Location
4060 FOURTH AVE
SUITE 615
SAN DIEGO CA, 92103-2116, US
Phone (619) 298-7135
Fax (858) 874-8837
Business Location
4060 FOURTH AVE
SUITE 615
SAN DIEGO CA, 92103-2116, US
Phone (619) 298-7135
Fax (858) 874-8837
Toxanomy
Taxonomy Code 2084P0800X
License State California
License Number G47439
Remove 1497056386 NPI Number
 

According to our database, H. Randall Hicks, M.d. Inc, H Randall Hicks Pres NPI is 1497056386, taxonomy code is 2084P0800X and license number is G47439, license state is located at California. H. Randall Hicks, M.d. Inc, H Randall Hicks Pres physically located at 4060 Fourth Ave, San Diego CA, 92103-2116. NPI Number 1033115704 has the healthcare provider type.

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1497056386 NPI number is provided on an as is basis without warranty of any kind. 1497056386 is maintained by the National Plan & Provider Enumeration System. The contents of H. Randall Hicks, M.d. Inc, H Randall Hicks Pres are for informational purposes only.