Basic Information
Provider Information
NPI: 1801258017
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILL
FirstName: DARREN
MiddleName: CHRISTIAN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5010
Address2:  
City: MINOT
State: ND
PostalCode: 587025010
CountryCode: US
TelephoneNumber: 7018575118
FaxNumber: 7018573430
Practice Location
Address1: 2815 16TH ST SW
Address2:  
City: MINOT
State: ND
PostalCode: 587016916
CountryCode: US
TelephoneNumber: 7018573500
FaxNumber: 7018575792
Other Information
ProviderEnumerationDate: 03/26/2016
LastUpdateDate: 03/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/25/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207W00000XR4093KYN Allopathic & Osteopathic PhysiciansOphthalmology 
207W00000X16424NDY Allopathic & Osteopathic PhysiciansOphthalmology 

No ID Information.


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