Organization
M R HINCKLEY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RICHARD HINCKLEY MD (OWNER)
(801) 313-1010
Entity
Organization
Contact information
Practice address
602 FORT UNION BLVD, 2ND FLOOR, MIDVALE, UT 84047-2216
(801) 313-1010
(801) 747-2116
Mailing address
602 FORT UNION BLVD, 2ND FLOOR, MIDVALE, UT 84047-2216
(801) 313-1010
(801) 747-2116
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
76133041205
UT
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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