Colin R Hickenlooper in Flagstaff - Physician Assistant
Colin R Hickenlooper - NPI 1972550192
Colin R Hickenlooper is a Physician Assistant in Flagstaff, Arizona. Colin R Hickenlooper practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Colin R Hickenlooper is 1972550192. The last update date is 2022-08-12.
Colin R Hickenlooper's current location address is 900 N Switzer Canyon Dr Apt 103, Flagstaff, Arizona. You can contact this provider via phone number 9075386776 and fax number 5202440089. The mailing address for Colin R Hickenlooper is 900 N Switzer Canyon Dr Apt 103, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Colin R Hickenlooper |
|---|---|
| Address | 900 N Switzer Canyon Dr Apt 103, Flagstaff, Arizona |
| Phone Number | 9075386776 |
| Fax Number | 5202440089 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1972550192 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2022-08-12 |
Provider Mailing Address Detail
| Address | 900 N Switzer Canyon Dr Apt 103 |
|---|---|
| City | Flagstaff |
| State | Arizona (AZ) |
| Post Code | 860014830 |
| Phone Number | 9075386776 |
| Fax Number | 5202440089 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 100369 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1020179 | AK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Colin R Hickenlooper by the Centers for Medicare & Medicaid Services?
The Colin R Hickenlooper has been assigned the NPI (National Provider Identifier) 1972550192. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Colin R Hickenlooper?
The Colin R Hickenlooper is situated at 900 N Switzer Canyon Dr Apt 103, in the city of Flagstaff, state of AZ, with the zip code 860014830.
What is Colin R Hickenlooper's area of expertise and its corresponding taxonomy classification?
The Colin R Hickenlooper's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Colin R Hickenlooper receive the assignment of its 1972550192 from the Centers for Medicare & Medicaid Services?
The Colin R Hickenlooper was issued its 1972550192 by the Centers for Medicare & Medicaid Services on 2006-05-31.
When was the Colin R Hickenlooper's information last updated?
The Colin R Hickenlooper's information was last updated on 2022-08-12.