Individual
GLENN ERIC HOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5700 HICKMAN RD, DES MOINES, IA 50310-1121
(515) 274-3551
(515) 274-3512
Mailing address
5700 HICKMAN RD, DES MOINES, IA 50310-1121
(515) 274-3551
(515) 274-3512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21658
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183061
—
IA
05
—
1992765994
—
IA
Enumeration date
03/24/2006
Last updated
08/09/2012
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