Individual
PHILLIP CHARLES HOCHWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD60458784
WA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD60458784
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598992737
—
WA
01
—
P01374514
RR MEDICARE
WA
Enumeration date
06/15/2009
Last updated
06/23/2022
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