Dr STANLEY MICHAEL HICKS is a male medical professional, specializing in Diagnostic Radiology. He graduated in 1980 from Oregon Health Sciences University School Of Medicine.
LONGVIEW RADIOLOGISTS, P.S. INC.
700 LINCOLN ST
SUITE 100
KELSO
WA
986261057
Tel: 3604255131
| Npi | 1336129451 |
| Pac Id | 8628965282 |
| Professional Enrollment Id | I20100824000564 |
| Last Name | HICKS |
| First Name | STANLEY |
| Middle Name | MICHAEL |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
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| Organization Legal Name | LONGVIEW RADIOLOGISTS, P.S. INC. |
| Group Practice Pac Id | 6406743061 |
| Number Of Group Practice Members | 6 |
| Line 1 Street Address | 700 LINCOLN ST |
| Line 2 Street Address | SUITE 100 |
| Marker Of Address Line 2 Suppression | |
| City | KELSO |
| State | WA |
| Zip Code | 986261057 |
| Phone Number | 3604255131 |
| Hospital Affiliation Ccn 1 | 500041 |
| Hospital Affiliation Lbn 1 | PEACHEALTH ST JOHN MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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