Healthcare Provider Details

I. General information

NPI: 1144233537
Provider Name (Legal Business Name): MICHAEL ELLIOTT HILL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 01/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73180 EL PASEO
PALM DESERT CA
92260-4218
US

IV. Provider business mailing address

73180 EL PASEO
PALM DESERT CA
92260-4218
US

V. Phone/Fax

Practice location:
  • Phone: 760-346-3810
  • Fax: 760-346-3083
Mailing address:
  • Phone: 760-346-3810
  • Fax: 760-346-3083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number35136
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberG87752
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME 69692
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: