Individual
KENT R HOOTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 LOMAS BLVD NE BLDG 1, ALBUQUERQUE, NM 87102-2560
(505) 332-6900
Mailing address
700 LOMAS BLVD NE BLDG 1, ALBUQUERQUE, NM 87102-2560
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD2009-0550
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025709000
—
NE
05
—
34336371
—
CO
05
—
49151762
—
NM
Enumeration date
11/17/2005
Last updated
02/16/2023
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