Individual
RICHARD A HOVERSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18306 W OREGON AVE, LITCHFIELD PARK, AZ 85340-6248
(480) 818-0039
Mailing address
18306 W OREGON AVE, LITCHFIELD PARK, AZ 85340
(480) 818-0039
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13298
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
635881
—
AZ
Enumeration date
06/28/2006
Last updated
04/24/2015
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