MAGEN HICKS DO
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1760178719- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 1005 COLLEGE VIEW DR, RIVERTON, WY, 825012289
- Phone
- (307) 857-3488
Specialties & Taxonomies
Family Medicine
License: TX #W1431
Family Medicine
Primary License: WY #TL9199