Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 131693 | CA |
N | 2080P0204X | Pediatric Emergency Doctor | MD00045318 | WA |
NPI | 1265606776 |
---|---|
Provider Name | Amanda Elizabeth Hoehler |
First Address | San Francisco, CA 94118-1981 |
Second Address | Tacoma, WA 98405-4234 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2008 |
Last Update Date | 09/09/2021 |