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Individual

DR. CHRISTA L HINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1010 W COLUMBIA ST, FARMINGTON, MO 63640-2902
(573) 218-6792
(573) 218-7075
Mailing address
7234 GAYOLA PL, MAPLEWOOD, MO 63143-2314
(314) 647-2760
(314) 647-2760

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36612
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203898010
MO
01
36612
MEDICAL LICENSE
MO
Enumeration date
12/05/2006
Last updated
07/08/2007
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