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NPI Code Detail

MEDICARE: MS. KERA LEIGH HOFF CSA

MEDICARE:  MS. KERA LEIGH HOFF  CSA
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
1363AS0400XSurgical Physician Assistant

General Provider Information

NPI Number : 1750611984
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KERA LEIGH HOFF CSA
Provider Business Mailing Address
First Line : 211 10TH AVE SE
Second Line :
City : ROCHESTER
State : MN
Zip : 55904-4614
Country : US
Telephone Number : 507-993-1289
Fax Number :
Provider Business Practice Location Address
First Line : 201 W CENTER ST
Second Line : EI-01 SURGICAL ASSISTANTS
City : ROCHESTER
State : MN
Zip : 55902-3003
Country : US
Telephone Number : 507-266-2827
Fax Number : 507-266-1978
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2010
Last Update Date : 01/11/2010

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Directions to “ MS. KERA LEIGH HOFF CSA” Practice Location

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