Provider Demographics
NPI:1770718017
Name:HOAR, CHRISTOPHER JOHN (IDMT)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JOHN
Last Name:HOAR
Suffix:
Gender:M
Credentials:IDMT
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Other - Credentials:
Mailing Address - Street 1:1090 ARNOLD DR
Mailing Address - Street 2:BLDG 1090/FLIGHT MEDICINE
Mailing Address - City:LR AFB
Mailing Address - State:AR
Mailing Address - Zip Code:72099-4933
Mailing Address - Country:US
Mailing Address - Phone:501-987-7319
Mailing Address - Fax:501-987-7349
Practice Address - Street 1:1090 ARNOLD DR
Practice Address - Street 2:BLDG 1090/FLIGHT MEDICINE
Practice Address - City:LR AFB
Practice Address - State:AR
Practice Address - Zip Code:72099-4933
Practice Address - Country:US
Practice Address - Phone:501-987-7319
Practice Address - Fax:501-987-7349
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2009-05-15
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians