Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 37840 | IA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | R7138 | IA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 37840 | IA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 37840 | IA |
NPI | 1750590238 |
---|---|
Provider Name | Justin D Hill |
First Address | Bend, OR 97701-7132 |
Second Address | Bend, OR 97701-7132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 07/02/2011 |