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Jack E Hickel, MD

Family Medicine in Anchorage, AK. Individual provider (NPI-1).

NPI number1407960784
StatusActive
Last updated in NPPESJul 9, 2014

Details

NPI
1407960784
Entity type
Individual (NPI-1)
Name
Jack E Hickel
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 17, 2006
Last updated
Jul 9, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2314AKYes

Practice location

4320 Diplomacy Dr
Anchorage, AK 99508-5925

Phone 907-729-3300

Mailing address

4320 Diplomacy Dr
Anchorage, AK 99508-5925

Phone 907-729-3300

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