Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 41734 | CO |
NPI | 1073511291 |
---|---|
Provider Name | Melissa T Hocate |
First Address | Colorado Springs, CO 80920 |
Second Address | Colorado Springs, CO 80920 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2005 |
Last Update Date | 14/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DS2135 | RR MCR PTAN (01) | CO |
H52398 | (02) | |
P00086310 | RR MCR (01) | CO |