Individual
DR. JACK TERRELL HINKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
595 S BLUFF ST STE 6, ST GEORGE, UT 84770-3593
(435) 628-5851
(435) 628-5852
Mailing address
595 S BLUFF ST STE 6, ST GEORGE, UT 84770-3593
(435) 628-5851
(435) 628-5852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4903985 1204
UT
207Q00000X
Family Medicine Physician
5101007259
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0853830844
MICHIGAN BC
MI
05
—
1744090
—
MI
Enumeration date
10/10/2005
Last updated
12/07/2010
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