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Individual

BRIAN C HOFUNG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1416 S ROAN ST, JOHNSON CITY, TN 37601-7332
(423) 979-6257
(423) 979-6285
Mailing address
1416 S ROAN ST, JOHNSON CITY, TN 37601-7332
(423) 979-6257
(423) 979-6285

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD31830
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3841838
TN
01
4111555
BLUE CROSS BLUE SHIELD
TN
Enumeration date
04/14/2006
Last updated
07/08/2007
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