Individual
DR. JEROD L HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1202 E LOCUST ST, EMMETT, ID 83617-2715
(208) 365-3563
Mailing address
1060 W IDAHO BLVD, EMMETT, ID 83617-9644
(208) 954-1762
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M-11820
ID
207X00000X
Orthopaedic Surgery Physician
MD214337
OR
Other
Enumeration date
11/15/2012
Last updated
11/26/2025
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