Most Relevant Information
Provider Data
| NPI Number: | 1003815119 |
| Provider Name: | MARC A HOFFMEISTER PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 15-00335 |
Most Important Dates
| Enumeration Date: | 07/20/2005 |
| Last Updated: | 02/25/2019 |
Provider Practice Location
116 N MAPLE ST
CHERRYVALE
KS
673351729
Practice Location Phone/Fax
| Phone: | 6203363244 |
| Fax: | 6203363755 |
Provider Mailing Location
4328 CR 4600
INDEPENDENCE
KS
673017540
Provider Mailing Phone/Fax
| Phone: | 6203314772 |
| Fax: |