Organization
SCOTTSDALE ADULT MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN HINCHMAN M.D. (OWNER/MANAGER)
(480) 229-8276
Entity
Organization
Contact information
Practice address
10679 N. FRANK LLOYD WRIGHT BLVD., F101, SCOTTSDALE, AZ 85259
(480) 229-8276
Mailing address
10679 N. FRANK LLOYD WRIGHT BLVD., F101, SCOTTSDALE, AZ 85259
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25523
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119307
MEDICARE GROUP PTAN
—
Enumeration date
12/11/2007
Last updated
05/15/2008
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