Individual
DR. TARA NICOLE HOFTIEZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1229 C AVE E, OSKALOOSA, IA 52577-4246
(641) 672-3360
(641) 672-2258
Mailing address
1229 C AVE E, OSKALOOSA, IA 52577-4246
(641) 672-3360
(641) 672-2258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2007018122
MO
207Q00000X
Family Medicine Physician
Primary
4443
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4443
LICENSE
IA
Enumeration date
08/29/2007
Last updated
08/02/2013
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