Mark W. Hinman, MD, LLC
Clinic/Center, Primary Care in Longmont, CO. Organization (NPI-2).
NPI number1992988828
StatusActive
Last updated in NPPESDec 13, 2007
Details
- NPI
- 1992988828
- Entity type
- Organization (NPI-2)
- Legal business name
- Mark W. Hinman, MD, LLC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2007
- Last updated
- Dec 13, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
1350 Tulip StLongmont, CO 80501-3140
Phone 303-776-6872 · Fax 303-776-2501
Mailing address
1350 Tulip StLongmont, CO 80501-3140
Phone 303-776-6872 · Fax 303-776-2501
Authorized official
Mark Wallace Hinman
Owner
3037766872
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