Individual
DR. FREDRIC A HOFFER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ST. JUDE CHILDREN'S RESEARCH HOSPITAL, 332 N LAUDERDALE ST., MS 0515, MEMPHIS, TN 38105-2794
(901) 495-3006
(901) 495-3842
Mailing address
ST. JUDE CHILDREN'S RESEARCH HOSPITAL, 332 N LAUDERDALE ST., MS 0515, MEMPHIS, TN 38105-2794
(901) 495-3006
(901) 495-3842
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
28771
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118706
—
MS
05
—
0030708
—
NJ
05
—
0527838
—
IA
05
—
100249677-00
—
NE
05
—
1429686
—
LA
05
—
2025212
—
OH
05
—
3818383
—
TN
05
—
64712714
—
KY
05
—
7611979
—
NC
05
—
82736863
—
NM
Enumeration date
05/23/2005
Last updated
07/09/2007
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