Brendan Riley Hicks
Brendan Riley Hicks is a Student in an Organized Health Care Education/Training Program in Palisade, Colorado. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
614 Moss WayPalisade, CO 81526-9238
Phone: (970) 314-1117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
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Record details
| NPI number | 1497327134 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 13, 2021 |
| Last updated in NPPES | July 13, 2021 |
| Certification date | July 13, 2021 |
| Mailing address | 614 Moss Way, Palisade, CO 81526-9238 |