Individual
DR. DAVID HOFHEINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
140 E MAIN ST, OTHELLO, WA 99344
(509) 488-5256
(509) 488-9939
Mailing address
140 E MAIN ST, OTHELLO, WA 99344
(509) 488-5256
(509) 488-9939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00000824
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035906
WA ST DL&I NUMBER
WA
05
—
8278509
—
WA
01
—
8939245
DLI CV #
WA
Enumeration date
10/31/2006
Last updated
07/09/2007
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