Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME142315 | FL |
Y | 2080P0203X | Pediatric Critical Care Doctor | 17848 | AZ |
N | 2080P0203X | Pediatric Critical Care Doctor | ME142315 | FL |
NPI | 1053385609 |
---|---|
Provider Name | Dr. Jeffrey H Hill |
First Address | Phoenix, AZ 85012-1240 |
Second Address | Sierra Vista, AZ 85635-9110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 09/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
295669 | (05) | AZ |
A16041 | (02) |