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NPI Code Detail

MEDICARE: TRENT L. HOVENGA MD

MEDICARE:   TRENT L. HOVENGA  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
1208600000XSurgery Physician27788CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881677821
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRENT L. HOVENGA MD
Provider Business Mailing Address
First Line : 110 RUGELY CT
Second Line :
City : COLORADO SPGS
State : CO
Zip : 80906-5954
Country : US
Telephone Number : 719-475-7777
Fax Number : 719-694-3565
Provider Business Practice Location Address
First Line : 110 RUGELY CT
Second Line :
City : COLORADO SPGS
State : CO
Zip : 80906-5954
Country : US
Telephone Number : 719-475-7777
Fax Number : 719-694-3565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2005
Last Update Date : 01/19/2021

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