Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC 21716 | CA |
NPI | 1588719934 |
---|---|
Provider Name | Dr. Vincent Michael Hoffart |
First Address | Rocklin, CA 95677-4244 |
Second Address | Rocklin, CA 95677-4244 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 25/07/2012 |