Doctor Name: | COMFORT HINES |
NPI Number: | 1114244118 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | |
Business Practice Address: | 1800 E Florence Blvd Department Of Emergency Medicine Casa Grande, AZ - 851225303 |
Business Phone Number: | 5209554902 |
Business Fax Number: | |
Mailing Address: | 1777 E Oquitoa Dr, CASA GRANDE |
State: | AZ |
Postal Code: | 851226380 |
Phone Number: | 5209554902 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2010 |
NPI Last Update Date: | 02/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |