| Doctor Name: | DR. ROBB R HICKS |
| NPI Number: | 1720059322 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | R2J89 |
| Business Practice Address: | 884 Woods Mill Rd Ballwin, MO - 630113657 |
| Business Phone Number: | 3146801632 |
| Business Fax Number: | 8889559047 |
| Mailing Address: | 11511 Craig Ct Apt 320, SAINT LOUIS |
| State: | MO |
| Postal Code: | 631466207 |
| Phone Number: | 3146801632 |
| Fax Number: | 8889559047 |
| NPI Enumeration Date: | 01/31/2006 |
| NPI Last Update Date: | 02/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | R2J89 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |