Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Colin R Hickenlooper, PA-C

Individual provider Physician Assistant · NPI 1972550192

Colin R Hickenlooper, PA-C is a Physician Assistant in Flagstaff, Arizona. Works from 3 locations. Licensed in Alaska, Arizona and Montana.

Licensed in
AK, AZ, MT
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

823 N San Francisco St Ste A
Flagstaff, AZ 86001-3265
Phone: (520) 244-0089
Fax: (520) 244-0089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5505 W Chandler Blvd Ste 11, Chandler, AZ 85226-3683 — (602) 753-4133
  • 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 — (406) 237-5050

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9219 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 100369 (MT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PADA547 (AK)

Record details

NPI number1972550192
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022

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