Individual
ERIC B HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 VILLAGE DR, SPARTA, MO 65753-8104
(417) 634-4203
(417) 634-4505
Mailing address
155 VILLAGE DR, SPARTA, MO 65753-8104
(417) 634-4203
(417) 634-4505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020029244
MO
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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