Individual
SCOTT EDWARD HOCKENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
285 E STATE ST, STE 620, COLUMBUS, OH 43215-4354
(614) 469-7621
(614) 469-8049
Mailing address
1299 OLENTANGY RIVER RD, STE 103, COLUMBUS, OH 43212-3135
(614) 566-4278
(614) 566-5424
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35066676
OH
208600000X
Surgery Physician
4301102239
MI
2086S0127X
Trauma Surgery Physician
35066676
OH
2086S0127X
Trauma Surgery Physician
4301102239
MI
2086S0129X
Vascular Surgery Physician
35066676
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0974692
—
OH
Enumeration date
11/07/2005
Last updated
05/02/2013
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