Individual
DERRICK S HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15648 N 35TH AVE, PHOENIX, AZ 85053-3861
(623) 930-8705
(602) 732-4980
Mailing address
15648 N 35TH AVE, PHOENIX, AZ 85053-3861
(623) 930-8705
(602) 732-4980
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
31380
AZ
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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