RILEY JARED HICKS

Dr RILEY JARED HICKS is a male medical professional, specializing in Oral Surgery. He graduated in 1998 from University Of Iowa College Of Medicine.

Contact

3905 WASHINGTON PKWY
IDAHO FALLS
ID
834047596

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RILEY JARED HICKS Information

Npi 1659368447
Pac Id 0547342370
Professional Enrollment Id I20080131000465
Last Name HICKS
First Name RILEY
Middle Name JARED
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF IOWA COLLEGE OF MEDICINE
Graduation Year 1998
Primary Specialty ORAL SURGERY
Secondary Specialty 1 MAXILLOFACIAL SURGERY
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties MAXILLOFACIAL SURGERY
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 3905 WASHINGTON PKWY
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Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834047596
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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