MEDICARE: WILLIAM L HINES 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
1	207W00000X	Ophthalmology Physician	19133	CO

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

General Provider Information

NPI Number	:	1356349369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM L HINES MD

Provider Business Mailing Address
First Line	:	2480 S DOWNING ST
Second Line	:	G-30
City	:	DENVER
State	:	CO
Zip	:	80210-5890
Country	:	US
Telephone Number	:	303-777-3277
Fax Number	:	303-698-9713

Provider Business Practice Location Address
First Line	:	2480 S DOWNING ST
Second Line	:	G-30
City	:	DENVER
State	:	CO
Zip	:	80210-5890
Country	:	US
Telephone Number	:	303-777-3277
Fax Number	:	303-698-9713

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	04/10/2008

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Directions to “ WILLIAM L HINES MD” Practice Location

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