Provider Demographics
NPI:1790905735
Name:HILL, DONALD III
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:
Last Name:HILL
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3759 FLORIDA ST UNIT L
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-7202
Mailing Address - Country:US
Mailing Address - Phone:707-217-9408
Mailing Address - Fax:
Practice Address - Street 1:COMDT CG-1122 USCG
Practice Address - Street 2:2100 2ND STREET SW, SUITE 5314
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20593-0001
Practice Address - Country:US
Practice Address - Phone:202-267-0801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other