Organization
BRIAN HOFUNG, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN CHRISTOPHER HOFUNG M.D. (OWNER)
(423) 979-0466
Entity
Organization
Contact information
Practice address
602 N ROAN ST, SUITE #2, JOHNSON CITY, TN 37601-4763
(423) 979-0466
(423) 979-0467
Mailing address
602 N ROAN ST, SUITE #2, JOHNSON CITY, TN 37601-4763
(423) 979-0466
(423) 979-0467
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD31830
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3841838
—
TN
Enumeration date
05/14/2009
Last updated
05/14/2009
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