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NPI Code Detail

MEDICARE: DONALD M. HILTY M.D., M.B.A.

MEDICARE: DONALD M. HILTY M.D., M.B.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
12084P0800XPsychiatry PhysicianG075437CA

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 : 1346222734
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD M. HILTY M.D., M.B.A.
Provider Business Mailing Address
First Line : 6990 WISE CT
Second Line :
City : CARMICHAEL
State : CA
Zip : 95608-2059
Country : US
Telephone Number : 626-375-7857
Fax Number :
Provider Business Practice Location Address
First Line : 4250 AUBURN BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95841-4164
Country : US
Telephone Number : 916-489-3336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2005
Last Update Date : 10/20/2021

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