Organization
HOFF MEDICAL CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERRY KEENE (MANAGER)
(573) 339-2000
Entity
Organization
Contact information
Practice address
1702 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-2122
(573) 339-2000
(573) 339-1876
Mailing address
1702 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-2122
(573) 339-2000
(573) 339-1876
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R7G45
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101495
UNITED HEALTH CARE
—
01
—
115174
BLUE CROSS BLUE SHIELD
—
01
—
226150
GHP
—
01
—
385481
HEALTHLINK
—
Enumeration date
03/07/2007
Last updated
02/03/2012
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