Individual
DAYNA RAE HOCHEVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
300 COLORADO AVE, PUEBLO, CO 81004-2006
(719) 543-8711
(719) 543-0171
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8711
(719) 585-3042
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0003597
CO
363AM0700X
Medical Physician Assistant
8476110-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04525868
—
CO
Enumeration date
11/26/2012
Last updated
05/04/2021
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