Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLIN R HICKENLOOPER, PA-C
ActiveCOLIN R HICKENLOOPER, PA-C is a Physician Assistant healthcare provider located in FLAGSTAFF, Arizona. NPI 1972550192 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FLAGSTAFF, AZ
Registration Details
- NPI Number
- 1972550192
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2006 (20.166765771873 yrs)
- Last Updated
- Aug 12, 2022
- Licenses
-
100369 (MT)PADA547 (AK)9219 (AZ)
Practice Information
- Address
-
823 N SAN FRANCISCO ST STE AFLAGSTAFF, AZ, 860013265Browse AZ providers · Browse ZIP 86001
- Phone
- 5202440089
- Fax
- 5202440089
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FLAGSTAFF, AZ
| Name | Credential | NPI |
|---|---|---|
| MRS. MACKENZIE R LURIE | PA | 1881643450 |
| ERIN H ENGEL | PA-C | 1033152921 |
| ALLAN SUCH | PA | 1316973720 |
| MICHELLE BOYER | PA-C | 1770519183 |
| JENNIFER A WALKER | PA | 1366472961 |
| KIMBERLY SARGENT | PA | 1043240609 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.