Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 26061 | MN |
NPI | 1184796856 |
---|---|
Provider Name | Dr. James Alan Hocks |
First Address | Mendota Heights, MN 55118-4209 |
Second Address | Saint Paul, MN 55118-3411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 14/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F92016 | (02) |