Provider Demographics
NPI:1669553228
Name:HOEHN, JOHN P (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:P
Last Name:HOEHN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:12255 DEPAUL DRIVE
Mailing Address - Street 2:SUITE 730 NORTH
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044
Mailing Address - Country:US
Mailing Address - Phone:314-739-7773
Mailing Address - Fax:314-770-2201
Practice Address - Street 1:12255 DEPAUL DRIVE
Practice Address - Street 2:SUITE 730 NORTH
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044
Practice Address - Country:US
Practice Address - Phone:314-739-7773
Practice Address - Fax:314-770-2201
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MO31694208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
A09901Medicare UPIN