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NPI Code Detail

MEDICARE: DR. ROSE LEE HINER M.D.

MEDICARE: DR. ROSE LEE HINER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician2008016452MO
2207R00000XInternal Medicine Physician2011001463MO

General Provider Information

NPI Number : 1235399817
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSE LEE HINER M.D.
Provider Business Mailing Address
First Line : 10024 WATSON RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63126-1829
Country : US
Telephone Number : 314-919-2500
Fax Number : 314-919-2577
Provider Business Practice Location Address
First Line : 10024 WATSON RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63126-1829
Country : US
Telephone Number : 314-919-2500
Fax Number : 314-919-2577
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2008
Last Update Date : 06/30/2011

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Directions to “ DR. ROSE LEE HINER M.D.” Practice Location

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