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Organization
DR. RICHARD M. HOFACKER, INC.
Active
Organization
DR. RICHARD M. HOFACKER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MICHAEL HOFACKER DPM (PRESIDENT)
(330) 836-7475
Entity
Organization
Contact information
Practice address
50 SAND RUN RD, AKRON, OH 44313-6200
(330) 836-7475
(330) 836-5100
Mailing address
50 SAND RUN RD, AKRON, OH 44313-6200
(330) 836-7475
(330) 836-5100
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002429
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000139318
ANTHEM BLUE CROSS AND BLUE SHIELD
OH
05
—
0692675
—
OH
01
—
27068924400
MEDICAL MUTUAL
OH
Enumeration date
07/22/2008
Last updated
07/22/2008
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