IndividualActive
Mark Hichborn, PA-C
NPI 1467410860 · Surgical Physician Assistant · Bettendorf, IA
Provider details
- NPI number
- 1467410860
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5250 Competition Drive
Suite 100
Bettendorf, IA 52722-8837
Phone: (563) 322-0971
Fax: (563) 324-0615
Approximate (ZIP-level) locationGet directions
Mailing address
5250 Competition Drive
Bettendorf, IA 52722-8837
Registry dates
- Enumerated
- 2006-05-03
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.