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Individual

JEFFREY G HOFFSOMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
231 S 30TH ST, ENID, OK 73701-6455
(580) 596-2800
(580) 596-2805
Mailing address
405 S OKLAHOMA AVE, CHEROKEE, OK 73728-2545
(580) 596-2800
(580) 596-2805

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
17359
OK
207Q00000X
Family Medicine Physician
Primary
17359
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100090880B
OK
Enumeration date
07/27/2005
Last updated
02/25/2025
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