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1053385609

NPI Code Detail

MEDICARE: DR. JEFFREY H HILL M.D., PHD

MEDICARE: DR. JEFFREY H HILL M.D., PHD

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	208000000X	Pediatrics Physician	ME142315	FL
2	2080P0203X	Pediatric Critical Care Medicine Physician	ME142315	FL
3	208M00000X	Hospitalist Physician	17848	AZ
4	208M00000X	Hospitalist Physician	ME142315	FL
5	2080P0203X	Pediatric Critical Care Medicine Physician	17848	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053385609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY H HILL M.D., PHD

Provider Business Mailing Address
First Line	:	43 E ROSE LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-1240
Country	:	US
Telephone Number	:	602-319-3519
Fax Number	:

Provider Business Practice Location Address
First Line	:	5700 E HIGHWAY 90 FL 4
Second Line	:
City	:	SIERRA VISTA
State	:	AZ
Zip	:	85635-9110
Country	:	US
Telephone Number	:	520-263-3500
Fax Number	:

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

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	03/09/2020

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Directions to “ DR. JEFFREY H HILL M.D., PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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