Doctor Name: | ANDREW DENNIS HOEFFLER |
NPI Number: | 1265710990 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP-C |
License Number: | 0024169524 |
Business Practice Address: | 7219 Litchfield Road 56th Mdg Luke Afb, AZ - 85309 |
Business Phone Number: | 6238569581 |
Business Fax Number: | 6238563107 |
Mailing Address: | 7219 N Litchfield Rd, LUKE AFB |
State: | AZ |
Postal Code: | 853091529 |
Phone Number: | 6238569581 |
Fax Number: | 6238563107 |
NPI Enumeration Date: | 07/29/2011 |
NPI Last Update Date: | 11/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024169524 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |