Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD10093 | OR |
NPI | 1023181294 |
---|---|
Provider Name | Dr. Charles Hoffmeister |
First Address | Tucson, AZ 85719-4316 |
Second Address | Tucson, AZ 85719-4316 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 12/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
087528 | (05) | OR |