Individual
MARK DOUGLAS HINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 6TH AVE, ALTOONA, PA 16602-1814
(814) 944-0187
(814) 942-1712
Mailing address
3500 6TH AVE, ALTOONA, PA 16602-1814
(814) 944-0187
(814) 942-1712
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OH000027
PA
174400000X
Specialist
PD000041
PA
174400000X
Specialist
Primary
PO000010
PA
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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