Individual
LIBERTY L HOFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
16528 DESMET CT, SPOKANE VALLEY, WA 99216-3522
(509) 252-1900
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 944-8910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005203
WA
363A00000X
Physician Assistant
PA573
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8489197
—
WA
Enumeration date
02/21/2007
Last updated
08/04/2014
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