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Individual

DR. THOMAS WADE HINTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3344 N FUTRALL DR, FAYETTEVILLE, AR 72703
(479) 443-5312
(479) 582-7389
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E-4453
AR
2085R0202X
Diagnostic Radiology Physician
M0111
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160615001
AR
05
174275101
TX
05
200086100A
OK
01
5N477
AR BCBS
AR
01
P00322549
RR MCR
AR
Enumeration date
04/18/2006
Last updated
06/20/2018
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