Individual
PHILLIP FRANKLIN HOFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 QUEENSGATE, BRISTOL, TN 37620-3041
(423) 652-2812
Mailing address
PO BOX 2168, BRISTOL, TN 37621-2168
(423) 652-2812
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD0000014540
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005748232
MEDICAID
VA
01
—
138606
BLUE CROSS
VA
01
—
3043330
BLUE CROSS
TN
05
—
3043330
—
TN
Enumeration date
10/31/2006
Last updated
12/15/2009
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