IndividualActive
Andrew Hicks, PA
NPI 1154757995 · Medical Physician Assistant · Peoria, AZ
Provider details
- NPI number
- 1154757995
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 5511 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7767 W Deer Valley Rd
Peoria, AZ 85382-2103
Phone: (623) 487-3003
Fax: (623) 889-0971
Approximate (ZIP-level) locationGet directions
Mailing address
7767 W Deer Valley Rd
Peoria, AZ 85382-2103
Registry dates
- Enumerated
- 2013-09-25
- Last updated
- 2013-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.