Individual
DAVID B HOVERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1691 GALISTEO ST, SUITE C, SANTA FE, NM 87505-4780
(505) 983-5631
Mailing address
1691 GALISTEO ST, SUITE C, SANTA FE, NM 87505-4780
(505) 983-5631
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
82-214
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09134
—
NM
01
—
82-214
NM LICENSE
NM
Enumeration date
04/03/2006
Last updated
07/08/2007
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