Individual
DR. PETER KENNETH HOFTIEZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 N 7TH ST, CHARITON, IA 50049
(641) 774-8103
(641) 774-8087
Mailing address
1200 N 7TH ST, CHARITON, IA 50049-1210
(641) 774-8103
(641) 727-8087
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2010024515
MO
207Q00000X
Family Medicine Physician
Primary
4453
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4453
LICENSE
IA
Enumeration date
09/09/2010
Last updated
09/19/2019
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