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Individual

DR. FLINT C HALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20713 E OCOTILLO RD, STE #100, QUEEN CREEK, AZ 85142-6117
(480) 882-9993
(480) 248-2377
Mailing address
20713 E OCOTILLO RD, STE #100, QUEEN CREEK, AZ 85142-6117
(480) 882-9993
(480) 248-2377

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47348
AZ
390200000X
Student in an Organized Health Care Education/Training Program
3838-850
WI
390200000X
Student in an Organized Health Care Education/Training Program
57426-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3838-850
TEP
WI
Enumeration date
10/24/2011
Last updated
08/13/2013
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