MEDICARE: DAVID A. HILL P.A.

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
1	363A00000X	Physician Assistant	PA13107	CA
2	363AM0700X	Medical Physician Assistant	PA13107	CA
3	363AS0400X	Surgical Physician Assistant	PA13107	CA

General Provider Information

NPI Number	:	1942292404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID A. HILL P.A.

Provider Business Mailing Address
First Line	:	1180 N INDIAN CANYON DRIVE
Second Line	:	SUITE W201
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4402
Country	:	US
Telephone Number	:	760-416-4511
Fax Number	:	760-416-4512

Provider Business Practice Location Address
First Line	:	1180 N INDIAN CANYON DR
Second Line	:	SUITE W201
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4402
Country	:	US
Telephone Number	:	760-416-4511
Fax Number	:	760-416-4512

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	03/06/2015

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Directions to “ DAVID A. HILL P.A.” Practice Location

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