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Organization

DR. RICHARD M. HOFACKER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD MICHAEL HOFACKER DPM (PRESIDENT)
(330) 836-7475
Entity
Organization

Contact information

Practice address
50 SAND RUN RD, AKRON, OH 44313-6200
(330) 836-7475
(330) 836-5100
Mailing address
50 SAND RUN RD, AKRON, OH 44313-6200
(330) 836-7475
(330) 836-5100

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002429
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000139318
ANTHEM BLUE CROSS AND BLUE SHIELD
OH
05
0692675
OH
01
27068924400
MEDICAL MUTUAL
OH
Enumeration date
07/22/2008
Last updated
07/22/2008
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