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NPI Code Detail

MEDICARE: MRS. JILL RENAE HOEK PA

MEDICARE:  MRS. JILL RENAE HOEK  PA
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
1363A00000XPhysician Assistant0232SDSD

Other Identifiers

General Provider Information

NPI Number : 1588641872
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JILL RENAE HOEK PA
Provider Business Mailing Address
First Line : 115 2ND ST SE
Second Line :
City : DE SMET
State : SD
Zip : 57231-0447
Country : US
Telephone Number : 605-854-3834
Fax Number : 605-854-3878
Provider Business Practice Location Address
First Line : 115 2ND STREET SE
Second Line :
City : DE SMET
State : SD
Zip : 57231-0463
Country : US
Telephone Number : 605-854-3834
Fax Number : 605-854-3878
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 03/01/2010

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Directions to “ MRS. JILL RENAE HOEK PA” Practice Location

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