Individual
DR. ALAN H HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W. FORT STREET, BOISE, ID 83702
(208) 422-1108
Mailing address
500 W. FORT STREET, BOISE, ID 83702
(208) 422-1108
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
M-8204
ID
2084P0800X
Psychiatry Physician
Primary
M-8204
ID
Other
Enumeration date
08/19/2006
Last updated
05/18/2022
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