Healthcare Provider Details

I. General information

NPI: 1912193582
Provider Name (Legal Business Name): SHARON CHRISTINE HOFFARTH M.D., M.P,H.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2007
Last Update Date: 09/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15027 RIDGE LAKE DR
CHESTERFIELD MO
63017-7638
US

IV. Provider business mailing address

15027 RIDGE LAKE DR
CHESTERFIELD MO
63017-7638
US

V. Phone/Fax

Practice location:
  • Phone: 314-323-3267
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number35817
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: