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NPI Code Detail

MEDICARE: JEFFREY P HINZ MD

MEDICARE: JEFFREY P HINZ MD
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
1208000000XPediatrics Physician4346MT

Other Identifiers

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

General Provider Information

NPI Number : 1134120009
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY P HINZ MD
Provider Business Mailing Address
First Line : 1400 29TH ST S
Second Line :
City : GREAT FALLS
State : MT
Zip : 59405-5353
Country : US
Telephone Number : 406-454-2171
Fax Number : 406-771-3021
Provider Business Practice Location Address
First Line : 1600 DIVISION RD
Second Line :
City : GREAT FALLS
State : MT
Zip : 59404-1921
Country : US
Telephone Number : 406-268-1600
Fax Number : 406-771-3549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 08/05/2011

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