Organization
MARVIN J. HOFFERT, MD, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN J. HOFFERT MD (OWNER, DIRECTOR)
(206) 523-7246
Entity
Organization
Contact information
Practice address
1530 N 115TH ST STE 207, SEATTLE, WA 98133-8411
(206) 523-7246
Mailing address
1530 N 115TH ST STE 207, SEATTLE, WA 98133-8411
(206) 523-7246
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD00035635
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103043
—
WA
01
—
117818
LABOR & INDUSTRIES
WA
Enumeration date
12/02/2008
Last updated
01/22/2009
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