Organization
WIRT A HINES MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WIRT A HINES M.D. (M.D.)
(801) 266-3400
Entity
Organization
Contact information
Practice address
1121 E 3900 S, C 125, SALT LAKE CITY, UT 84124-1214
(801) 266-3400
(801) 266-3401
Mailing address
1121 E 3900 S, C 125, SALT LAKE CITY, UT 84124-1214
(801) 266-3400
(801) 266-3401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
150583-1205
UT
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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