Provider Demographics
NPI:1801893409
Name:HOISINGTON, WILLIAM DONALD (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DONALD
Last Name:HOISINGTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3225 I-70 BUSINESS LOOP
Mailing Address - Street 2:STE A4
Mailing Address - City:CLIFTON
Mailing Address - State:CO
Mailing Address - Zip Code:81520-7687
Mailing Address - Country:US
Mailing Address - Phone:970-434-6542
Mailing Address - Fax:970-434-3327
Practice Address - Street 1:3225 I-70 BUSINESS LOOP
Practice Address - Street 2:STE A4
Practice Address - City:CLIFTON
Practice Address - State:CO
Practice Address - Zip Code:81520-7687
Practice Address - Country:US
Practice Address - Phone:970-434-6542
Practice Address - Fax:970-434-3327
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2012-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO24942207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO27715OtherBCBS
CO01249424Medicaid
CO2155248OtherAETNA- HMO
CO841547572002OtherROCKY MT HEALTH PLANS
CO01249424Medicaid
CO2155248OtherAETNA- HMO