Individual
ANDREW HOFFMANN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4847
(985) 493-4747
Mailing address
PO BOX 1178, THIBODAUX, LA 70302-1178
(985) 446-1200
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
016633
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902632
—
LA
Enumeration date
01/18/2007
Last updated
07/09/2007
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