Individual
DARRELL R HOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3807 S MADISON ST, MUNCIE, IN 47302-5758
(765) 751-3300
(765) 751-3313
Mailing address
3807 S MADISON ST, PO BOX 1676, MUNCIE, IN 47302-5758
(765) 213-3707
(765) 751-3313
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01027075A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000343302
ANTHEM BCBS
IN
05
—
100347440
—
IN
05
—
100347440A
—
IN
Enumeration date
02/22/2006
Last updated
06/01/2011
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