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Individual

JACK M. HOFFNUNG

Active
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Individual

JACK M. HOFFNUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15316
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0216840000
WV
01
242045
ANTHEM BCBS
VA
01
3058534
BCBS
TN
05
3193230
TN
05
64927460
KY
05
7213395
VA
01
R07104
JOHN DEERE
TN
Enumeration date
08/09/2005
Last updated
03/12/2010
Update your record

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