Individual
DENNIS GERALD SHOFF
Active
Individual
DENNIS GERALD SHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
20718
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000062512
ANTHEM
—
01
—
2435204000
PASSPORT ADVANTAGE
—
Enumeration date
09/25/2006
Last updated
08/06/2010
Update your record
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