Individual
HERBERT HITCHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13555 W MCDOWELL RD, SUITE 105, GOODYEAR, AZ 85395-2624
(623) 512-4400
(623) 512-4405
Mailing address
3815 E BELL RD STE 2200, PHOENIX, AZ 85032-2139
(602) 633-3848
(602) 633-3841
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2463
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115883
AHCCCS
AZ
Enumeration date
09/14/2005
Last updated
04/18/2019
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