Derrick S. Hines M.d. P.c. | |
8208 S 18th Pl Phoenix AZ 85042-6837 | |
(602) 275-1348 | |
Not Available |
Full Name | Derrick S. Hines M.d. P.c. |
---|---|
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 8208 S 18th Pl, Phoenix, Arizona |
Authorized Official Name and Position | Derrick Shayne Hines (PRESIDENT) |
Authorized Official Contact | 6022751348 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Derrick S. Hines M.d. P.c. 8208 S 18th Pl Phoenix AZ 85042-6837 Ph: (602) 275-1348 | Derrick S. Hines M.d. P.c. 8208 S 18th Pl Phoenix AZ 85042-6837 Ph: (602) 275-1348 |
NPI Number | 1003912692 |
---|---|
Provider Enumeration Date | 09/15/2006 |
Last Update Date | 09/29/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003912692 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 31380 (Arizona) | Primary |
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