Individual
MICHAEL HINCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9001 S 3200 W, WEST JORDAN, UT 84088-9621
(801) 965-3600
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3505
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
7613304-1205
UT
207ND0101X
MOHS-Micrographic Surgery Physician
7613304-1205
UT
Other
Enumeration date
12/13/2007
Last updated
03/05/2024
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