Healthcare Provider Details

I. General information

NPI: 1477585669
Provider Name (Legal Business Name): JULIA GALE HOFFMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIA GALE BUEHLER MD

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 09/17/2021
Certification Date: 09/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3023 N BALLAS RD STE 440D
SAINT LOUIS MO
63131-2363
US

IV. Provider business mailing address

3023 N BALLAS RD STE 440D
SAINT LOUIS MO
63131-2363
US

V. Phone/Fax

Practice location:
  • Phone: 314-432-8181
  • Fax: 314-432-0090
Mailing address:
  • Phone: 314-432-8181
  • Fax: 314-432-0090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2016009658
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: