Individual
DR. BLAKE HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
12201 PECOS ST STE 400, WESTMINSTER, CO 80234-3994
(417) 389-2203
Mailing address
3306 ABBEY RD UNIT 713, EVANS, CO 80620-8623
(417) 389-2203
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2013024450
MO
Other
Enumeration date
07/10/2013
Last updated
04/09/2018
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