Derrick S. Hines M.d. P.c.

Specialty details in registry · Phoenix, AZ

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At a glance

8208 S 18Th Pl, Phoenix, AZ 85042-6837

NPPES record updated Sep 29, 2010. Public records can lag behind changes at a practice.

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Practice location

8208 S 18Th Pl
Phoenix, AZ 85042-6837
Professional details: NPI, taxonomy & registry record
NPI1003912692
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
2084P0804X
Enumeration date
Sep 15, 2006
Record updated
Sep 29, 2010
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

2084P0804X · Primary

License reported: 31380 AZ

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

8208 S 18Th Pl
Phoenix, AZ 85042-6837
Phone
(602) 275-1348
Mailing address
8208 S 18TH PL

PHOENIX, AZ 850426837
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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