Provider Demographics
NPI:1447385141
Name:HILL, MICHAEL D (DC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:D
Last Name:HILL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9577 NORTH 4500 WEST
Mailing Address - Street 2:
Mailing Address - City:CEDER HILL
Mailing Address - State:UT
Mailing Address - Zip Code:84062-9462
Mailing Address - Country:US
Mailing Address - Phone:623-734-7608
Mailing Address - Fax:
Practice Address - Street 1:8170 SOUTH HIGHLAND DRIVE
Practice Address - Street 2:STE. E4
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84093
Practice Address - Country:US
Practice Address - Phone:801-942-4999
Practice Address - Fax:801-942-8816
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7745111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor