MEDICARE: LANDON S HOECKER 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
1	207Q00000X	Family Medicine Physician	30150	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1740260561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANDON S HOECKER MD

Provider Business Mailing Address
First Line	:	7150 E CAMELBACK RD
Second Line	:	SUITE 105
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-1200
Country	:	US
Telephone Number	:	602-218-4072
Fax Number	:	602-218-4076

Provider Business Practice Location Address
First Line	:	7150 E CAMELBACK RD
Second Line	:	SUITE 105
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-1200
Country	:	US
Telephone Number	:	602-218-4072
Fax Number	:	602-218-4076

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

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	08/12/2015

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Directions to “ LANDON S HOECKER MD” Practice Location

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