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NPI Code Detail

MEDICARE: STEPHEN HINGSON

MEDICARE: STEPHEN HINGSON
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
1208D00000XGeneral Practice Physician0101052587VA
2208M00000XHospitalist PhysicianMED-PHYS-LIC-59745MT

General Provider Information

NPI Number : 1770550543
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN HINGSON
Provider Business Mailing Address
First Line : 1090 ARNOLD DR
Second Line :
City : LITTLE ROCK AIR FORCE BASE
State : AR
Zip : 72099-4933
Country : US
Telephone Number : 501-987-7319
Fax Number :
Provider Business Practice Location Address
First Line : 1090 ARNOLD DR
Second Line :
City : LITTLE ROCK AIR FORCE BASE
State : AR
Zip : 72099-4933
Country : US
Telephone Number : 501-987-7319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 01/25/2021

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Directions to “ STEPHEN HINGSON ” Practice Location

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