Individual
LUKE HISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 214-2920
Mailing address
925 E MCDOWELL RD FL 2, PHOENIX, AZ 85006-2502
(602) 839-3339
(602) 839-3300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54374
AZ
208600000X
Surgery Physician
R74568
AZ
208M00000X
Hospitalist Physician
Primary
54374
AZ
Other
Enumeration date
06/03/2014
Last updated
02/07/2025
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