Provider Demographics
NPI:1952626053
Name:HINDMAN, JOSEPH KING (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:KING
Last Name:HINDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8375 KOCH FIELD RD
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-1255
Mailing Address - Country:US
Mailing Address - Phone:928-526-9527
Mailing Address - Fax:
Practice Address - Street 1:8375 KOCH FIELD RD
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-1255
Practice Address - Country:US
Practice Address - Phone:928-526-9527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ168312080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine