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NPI Code Detail

MEDICARE: DR. WILLIAM STEVEN JOFFE M.D.

MEDICARE:  DR. WILLIAM STEVEN JOFFE  M.D.
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
1207W00000XOphthalmology Physician2008002420MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12008002420OTHERMODIVISION OF PROFESSIONAL REGISTRATION

General Provider Information

NPI Number : 1083941488
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM STEVEN JOFFE M.D.
Provider Business Mailing Address
First Line : 4912 MCPHERSON AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63108-1608
Country : US
Telephone Number : 314-361-2661
Fax Number :
Provider Business Practice Location Address
First Line : 4912 MCPHERSON AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63108-1608
Country : US
Telephone Number : 314-361-2661
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2009
Last Update Date : 11/06/2009

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