| Dr Stanley Michael Hicks, MD | |
|
700 Lincoln St, Suite 100, Kelso, WA 98626-1057 | |
| (360) 425-5131 | |
| Not Available |
| Full Name | Dr Stanley Michael Hicks |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 700 Lincoln St, Kelso, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336129451 | NPI | - | NPPES |
| 8136988 | Medicaid | WA | |
| 040803 | Other | OR | OREGON DSHS |
| 34871 | Other | WA | LABOR & INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD00029538 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stanley Michael Hicks, MD 700 Lincoln St, Suite 100, Kelso, WA 98626-1057 Ph: (360) 425-5131 | Dr Stanley Michael Hicks, MD 700 Lincoln St, Suite 100, Kelso, WA 98626-1057 Ph: (360) 425-5131 |
Dr. Michael J Pawlik, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Lincoln St Ste 100, Kelso, WA 98626 Phone: 360-425-5131 | |
Dr. Robert Eugene Ehrlich, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 Lincoln St, Suite 100, Kelso, WA 98626 Phone: 360-425-5131 Fax: 360-425-5509 | |
Nicole Francoise Bolender, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 Lincoln St, Suite 100, Kelso, WA 98626 Phone: 360-425-5131 Fax: 360-425-5509 | |
Dr. Cameron J Evans, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Lincoln St Ste 100, Kelso, WA 98626 Phone: 360-425-5131 Fax: 360-425-5509 | |
Mr. Zachariah Kramer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Lincoln St Ste 100, Longview Radiologists, Kelso, WA 98626 Phone: 360-425-5131 |