| 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 |