Most Relevant Information
Provider Data
| NPI Number: | 1003822198 |
| Provider Name: | MARY HICKS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 45326 |
Most Important Dates
| Enumeration Date: | 07/31/2006 |
| Last Updated: | 05/10/2019 |
Provider Practice Location
5200 DTC PKWY
SUITE 400
GREENWOOD VILLAGE
CO
801112709
Practice Location Phone/Fax
| Phone: | 3037450000 |
| Fax: | 3037081834 |
Provider Mailing Location
5200 DTC PKWY
SUITE 400
GREENWOOD VILLAGE
CO
801112709
Provider Mailing Phone/Fax
| Phone: | 3037450000 |
| Fax: | 3037081834 |
Suggested EMR
Internist EMR