Individual
DAVID R HOCKMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2790 CLAY EDWARDS DR STE 520B, NORTH KANSAS CITY, MO 64116-3276
(816) 691-5198
(816) 346-7095
Mailing address
9411 N OAK TRFY STE LL1, KANSAS CITY, MO 64155-2262
(816) 691-1655
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2024050047
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
28766
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084590
—
IA
Enumeration date
11/17/2005
Last updated
01/10/2025
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