Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 44373 | KY |
N | 207VX0000X | Obstetrician | 2006015599 | MO |
N | 207VX0000X | Obstetrician | 2010014078 | MO |
Y | 207VX0201X | Gynecologic Oncologist | 2010014078 | MO |
N | 207VX0201X | Gynecologic Oncologist | 44373 | KY |
NPI | 1073540951 |
---|---|
Provider Name | Dr. John Theodore Hoff |
First Address | Saint Louis, MO 63117-1811 |
Second Address | Saint Louis, MO 63117-1858 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 11/10/2021 |