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Individual

ERIC S HOCKSTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4000 CAMBRIDGE STREET, SUITE G600, KANSAS CITY, KS 66160-8501
(913) 588-9600
Mailing address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(913) 588-9600

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
0426647
KS
207RI0011X
Interventional Cardiology Physician
110276
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005658218
AETNA PPO
01
038A00017
MEDICARE
MO
01
038B00037
MEDICARE
KS
01
038E00028
MEDICARE
MO
01
060036604
MEDICARE RAILROAD
05
1053364265
MO
01
110330031
MEDICARE
KS
05
201111290A
KS
01
23450018
BLUE SHIELD OF KC HMO
01
431092652 A018
CHAMPUS TRICARE
01
P00853600
MEDICARE RAILROAD
MO
Enumeration date
05/18/2006
Last updated
12/11/2018
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