Individual
MARK R HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16528 DESMET CT, SPOKANE VALLEY, WA 99216-3522
(866) 747-2455
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0420008304
VT
207Q00000X
Family Medicine Physician
Primary
MD60454301
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN0029
—
VT
Enumeration date
10/19/2005
Last updated
05/19/2021
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