Individual
LINCOLN DAVID HIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
590 S MAIN ST, SNOWFLAKE, AZ 85937-5228
(928) 536-7519
(928) 536-7305
Mailing address
590 S MAIN ST, SNOWFLAKE, AZ 85937-5228
(928) 536-7519
(928) 536-7305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2019032609
MO
207Q00000X
Family Medicine Physician
Primary
70370
AZ
390200000X
Student in an Organized Health Care Education/Training Program
RS2021-0546
NM
Other
Enumeration date
06/03/2020
Last updated
08/05/2024
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