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NPI Code Detail

MEDICARE: HOWARD PATTERSON HEZMALL MD

MEDICARE:   HOWARD PATTERSON HEZMALL  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology PhysicianF1642TX
2208800000XUrology Physician45214CO

Other Identifiers

General Provider Information

NPI Number : 1134115652
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOWARD PATTERSON HEZMALL MD
Provider Business Mailing Address
First Line : 501 ANGLERS DR STE 202
Second Line :
City : STEAMBOAT SPRINGS
State : CO
Zip : 80487-8841
Country : US
Telephone Number : 970-871-9710
Fax Number : 970-871-9709
Provider Business Practice Location Address
First Line : 501 ANGLERS DR STE 202
Second Line :
City : STEAMBOAT SPRINGS
State : CO
Zip : 80487-8841
Country : US
Telephone Number : 970-871-9710
Fax Number : 970-871-9709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 02/03/2012

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Directions to “ HOWARD PATTERSON HEZMALL MD” Practice Location

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