Provider Demographics
NPI:1508007451
Name:HYON, ANNIE (DO)
Entity Type:Individual
Prefix:
First Name:ANNIE
Middle Name:
Last Name:HYON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1220 W 24TH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-8705
Mailing Address - Country:US
Mailing Address - Phone:928-329-8331
Mailing Address - Fax:928-329-8528
Practice Address - Street 1:1220 W 24TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8705
Practice Address - Country:US
Practice Address - Phone:928-329-8331
Practice Address - Fax:928-329-8528
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-23
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ006124207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology