Provider Demographics
NPI:1184796856
Name:HOCKS, JAMES ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ALAN
Last Name:HOCKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1025 VICTORIA CT
Mailing Address - Street 2:
Mailing Address - City:MENDOTA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55118-4209
Mailing Address - Country:US
Mailing Address - Phone:651-340-4338
Mailing Address - Fax:
Practice Address - Street 1:1547 LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-3411
Practice Address - Country:US
Practice Address - Phone:651-726-9500
Practice Address - Fax:651-552-1575
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN260612080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F92016Medicare UPIN