Basic Information
| Provider Information | |||||||||
| NPI: | 1003148990 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HINDMAN | ||||||||
| FirstName: | CLARENCE | ||||||||
| MiddleName: | JAMES | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 36807 | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857406807 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5209916863 | ||||||||
| FaxNumber: | 5207976724 | ||||||||
| Practice Location | |||||||||
| Address1: | 75 E BEEKEEPER TRAIL | ||||||||
| Address2: | |||||||||
| City: | ORO VALLEY | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857554747 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5209916863 | ||||||||
| FaxNumber: | 5207976724 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/03/2010 | ||||||||
| LastUpdateDate: | 02/03/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 7646 | AZ | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.