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Individual

MR. THOMAS MARK HINZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS SLP

Contact information

Practice address
1911 E RENEGADE TRL, QUEEN CREEK, AZ 85243-4459
(480) 213-2678
Mailing address
1911 E RENEGADE TRL, QUEEN CREEK, AZ 85243-4459
(480) 213-2678

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL1769
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
583890
AZ
Enumeration date
02/20/2007
Last updated
11/16/2007
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