DIANA MANIS FICK, PA

NPI: 1528781655 · Individual · Active

Primary Specialty

Surgical Physician Assistant
Physician Assistant — Surgical

Practice Location

2421 W 21ST ST STE B
GENERAL SURGERY - CLOVIS
CLOVIS, NM 88101-2006 Map ↗
Phone: 575-769-7577
Fax: 575-742-7856

Mailing Address

PO BOX 26666
PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666 Map ↗

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Surgical Physician Assistant Primary — Surgical (license: PA2025-0155, NM)
  • Physician Assistant (license: PA2025-0155, NM)

NPI Registration

Enumerated: 2022-09-23

Last CMS Update: 2026-01-09