Individual
MR. TIMOTHY D HOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
485 S DOBSON RD STE 110, CHANDLER, AZ 85224-5600
(480) 728-4470
(480) 728-4499
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7361
AZ
363AM0700X
Medical Physician Assistant
PA1443
ME
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
474538
—
AZ
01
—
Z224137
MEDICARE
AZ
Enumeration date
12/02/2013
Last updated
10/27/2021
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