Individual
ASHLEY LYNN MATROSE HINEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21681 N 77TH AVE STE 1410, PEORIA, AZ 85382-2133
(623) 362-1818
(623) 362-8095
Mailing address
6635 W HAPPY VALLEY RD STE A104-503, GLENDALE, AZ 85310-2609
(623) 362-1818
(623) 362-8095
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33560
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
933780
—
AZ
Enumeration date
09/21/2006
Last updated
05/24/2023
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