Organization
DERRICK S. HINES M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK SHAYNE HINES M.D. (PRESIDENT)
(602) 275-1348
Entity
Organization
Contact information
Practice address
8208 S 18TH PL, PHOENIX, AZ 85042-6837
(602) 275-1348
Mailing address
8208 S 18TH PL, PHOENIX, AZ 85042-6837
(602) 275-1348
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
31380
AZ
Other
Enumeration date
09/15/2006
Last updated
09/29/2010
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