Individual
DR. DANIEL K HINCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2065 E 17TH ST, SUITE A, IDAHO FALLS, ID 83404-8042
(208) 522-1764
(208) 522-1766
Mailing address
2065 E 17TH ST, SUITE A, IDAHO FALLS, ID 83404-8042
(208) 522-1764
(208) 522-1766
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M-5686
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002665500
—
ID
Enumeration date
08/28/2006
Last updated
12/10/2014
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