Healthcare Provider Details

I. General information

NPI: 1679745871
Provider Name (Legal Business Name): MARC HALE HOHMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2008
Last Update Date: 07/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA WA
98431
US

IV. Provider business mailing address

802 N MASON AVE
TACOMA WA
98406-4031
US

V. Phone/Fax

Practice location:
  • Phone: 253-968-1420
  • Fax:
Mailing address:
  • Phone: 253-292-9960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number24558
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: