Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD00040270 | WA |
NPI | 1316986623 |
---|---|
Provider Name | John Finley Hoffmann |
First Address | Spokane, WA 99201-2217 |
Second Address | Spokane, WA 99201-2217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 16/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0187929 | L & I (01) | WA |
8119067 | (05) | WA |
D87775 | (02) |