Individual
MARK F HYNDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7391 W CHARLESTON BLVD, SUITE 140, LAS VEGAS, NV 89117-1577
(702) 304-2144
(702) 304-2147
Mailing address
7391 W CHARLESTON BLVD, SUITE 140, LAS VEGAS, NV 89117-1577
(702) 304-2144
(702) 304-2147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11611
NV
208M00000X
Hospitalist Physician
11611
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506575
—
NV
05
—
1992795249
—
NV
Enumeration date
10/27/2005
Last updated
04/26/2013
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