| Doctor Name: | CAROLYN WAGNER VON HOFF |
| NPI Number: | 1013290410 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A.C. |
| License Number: | 4954 |
| Business Practice Address: | 963 N Mcqueen Road Chandler, AZ - 852258149 |
| Business Phone Number: | 4803981940 |
| Business Fax Number: | 4807821453 |
| Mailing Address: | 963 N Mcqueen Road, CHANDLER |
| State: | AZ |
| Postal Code: | 852258149 |
| Phone Number: | 4803981940 |
| Fax Number: | 4807821453 |
| NPI Enumeration Date: | 09/21/2011 |
| NPI Last Update Date: | 12/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 4954 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |