Individual
DR. MARK S HOSKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
469 STATE HIGHWAY 50, GILLETTE, WY 82718-9330
(303) 817-8353
Mailing address
580 MOHAWK DR, BOULDER, CO 80303-3712
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26114
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009069
KAISER-COMMERCIAL NUMBER
—
05
—
01261148
—
CO
Enumeration date
02/27/2007
Last updated
07/11/2023
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