Individual
ALISHA MARIE HINDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109
(573) 635-5264
(573) 556-1719
Mailing address
2401 S 31ST ST, M/S 09- CW306, TEMPLE, TX 76508-0001
(254) 724-5817
(254) 724-7210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2012018758
MO
207RG0100X
Gastroenterology Physician
Primary
2018014408
MO
Other
Enumeration date
06/15/2012
Last updated
07/30/2018
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