| 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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