MEDICARE: MS. SARAH ELIZABETH HOCH PA-C

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
1	363AM0700X	Medical Physician Assistant	085.004154	IL

General Provider Information

NPI Number	:	1811271323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH ELIZABETH HOCH PA-C

Provider Business Mailing Address
First Line	:	PO BOX 69
Second Line	:
City	:	TIMNATH
State	:	CO
Zip	:	80547-0069
Country	:	US
Telephone Number	:	970-673-1155
Fax Number	:

Provider Business Practice Location Address
First Line	:	4038 S TIMBERLINE RD UNIT 100
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-6004
Country	:	US
Telephone Number	:	970-673-4747
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2011
Last Update Date	:	11/04/2021

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