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NPI Code Detail

MEDICARE: CODY B HOEFLICKER DO

MEDICARE: CODY B HOEFLICKER DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician2006008750MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053325605
Entity Type Code : Individual
Provider Name (Legal Business Name) : CODY B HOEFLICKER DO
Provider Business Mailing Address
First Line : PO BOX 802843
Second Line :
City : KANSAS CITY
State : MO
Zip : 64180-2843
Country : US
Telephone Number : 417-730-6430
Fax Number : 417-269-7567
Provider Business Practice Location Address
First Line : 525 BRANSON LANDING BLVD STE 201A
Second Line :
City : BRANSON
State : MO
Zip : 65616-2052
Country : US
Telephone Number : 417-335-7128
Fax Number : 417-348-8007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 07/12/2022

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Directions to “ CODY B HOEFLICKER DO” Practice Location

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