Individual
DR. MARVIN J HOFFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2010-00195
NC
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
2010-00195
NC
2084P0800X
Psychiatry Physician
Primary
2010-00195
NC
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
2010-00195
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117818
WORKER'S COMP/ DEPT L & I
WA
05
—
1103043
—
WA
05
—
5915816
—
NC
01
—
H01213
BLUE SHEILD
WA
Enumeration date
08/16/2006
Last updated
04/11/2014
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