Individual
MARY L HOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
820 5TH ST N, CARRINGTON, ND 58421
(701) 652-2515
(701) 652-2846
Mailing address
820 5TH ST N, PO BOX 79, CARRINGTON, ND 58421-1223
(701) 652-2515
(701) 652-2846
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0135
ND
363AM0700X
Medical Physician Assistant
PAC0135
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12962
BLUE CROSS BLUE SHIELD ND
ND
01
—
407241030704
PREFERREDONE
ND
01
—
970011136
RAILROAD MEDICARE
ND
Enumeration date
12/26/2005
Last updated
08/01/2018
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