Individual
BENJAMIN J HOCHHALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7455 W WASHINGTON AVE STE 160, LAS VEGAS, NV 89128-4356
(702) 878-0393
(702) 258-5536
Mailing address
7455 W WASHINGTON AVE, #160, LAS VEGAS, NV 89128-4337
(702) 878-0393
(702) 258-5536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-614
ID
363A00000X
Physician Assistant
Primary
PA1844
NV
363AM0700X
Medical Physician Assistant
PA-614
ID
363AS0400X
Surgical Physician Assistant
PA-614
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326023417
—
NV
05
—
282621
—
AZ
Enumeration date
12/12/2005
Last updated
01/18/2019
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