Individual
DR. SCOTT L HOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1075 NICHOLS RD, OSAGE BEACH, MO 65065-3093
(573) 302-3990
(573) 302-2753
Mailing address
PO BOX 1500, OSAGE BEACH, MO 65065-1500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2012015106
MO
207X00000X
Orthopaedic Surgery Physician
34174
CO
207X00000X
Orthopaedic Surgery Physician
DO26461
OR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2012015106
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
DO000117
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285614354
—
MO
Enumeration date
01/17/2006
Last updated
06/10/2013
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