Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 24558 | NE |
NPI | 1679745871 |
---|---|
Provider Name | Dr. Marc Hale Hohman |
First Address | Tacoma, WA 98406-4031 |
Second Address | Tacoma, WA 98431 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2008 |
Last Update Date | 15/07/2019 |