Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Edson Conrad Hicks Jr., MD

Individual provider Specialist · NPI 1407076201

Dr. Edson Conrad Hicks Jr., MD is a Specialist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4221 E Chandler Blvd Ste 119
Phoenix, AZ 85048-8878
Phone: (480) 223-1901
Fax: (480) 393-6930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 29616 (AZ)

Record details

NPI number1407076201
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 26, 2007
Last updated in NPPESJuly 8, 2007

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