Provider Demographics
NPI:1568429231
Name:HOYT, JAMES SPENCER (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:SPENCER
Last Name:HOYT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1541 FLORIDA AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-4429
Mailing Address - Country:US
Mailing Address - Phone:209-577-3388
Mailing Address - Fax:209-521-3262
Practice Address - Street 1:1541 FLORIDA AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-4429
Practice Address - Country:US
Practice Address - Phone:209-577-3388
Practice Address - Fax:209-521-3262
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2016-11-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WA00034318208200000X
CAG61493208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery