Derrick S. Hines M.d. P.c.

NPI 1003912692 - Psychiatry & Neurology - 2084P0804X

NPI Details
NPI 1003912692
Enumeration Date 09/15/2006
Last Updated 09/29/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DERRICK SHAYNE DERRICK
Position PRESIDENT
Phone (602) 275-1348
Fax
Practice Location
8208 S 18TH PL
PHOENIX AZ, 85042-6837, US
Phone (602) 275-1348
Fax
Business Location
8208 S 18TH PL
PHOENIX AZ, 85042-6837, US
Phone (602) 275-1348
Fax
Toxanomy
Taxonomy Code 2084P0804X
License State Arizona
License Number 31380
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According to our database, Derrick S. Hines M.d. P.c. NPI is 1003912692, taxonomy code is 2084P0804X and license number is 31380, license state is located at Arizona. Derrick S. Hines M.d. P.c. physically located at 8208 S 18th Pl, Phoenix AZ, 85042-6837. NPI Number 1033115704 has the healthcare provider type.

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1003912692 NPI number is provided on an as is basis without warranty of any kind. 1003912692 is maintained by the National Plan & Provider Enumeration System. The contents of Derrick S. Hines M.d. P.c. are for informational purposes only.