Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | DC003138L | PA |
Y | 213ER0200X | Radiology | DC003138L | PA |
NPI | 1366491649 |
---|---|
Provider Name | Dr. William David Hoff |
First Address | Indiana, PA 15701-8686 |
Second Address | Indiana, PA 15701-8686 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
467052N5R | (02) | PA |
T30590 | (02) | PA |