Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD198062 | OR |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 328335 | LA |
NPI | 1184010399 |
---|---|
Provider Name | Stephen J Hoge |
First Address | Shreveport, LA 71105-5634 |
Second Address | Shreveport, LA 71105-5634 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2015 |
Last Update Date | 18/08/2021 |