Provider Demographics
NPI:1427022532
Name:HOF, CHARLES WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:WILLIAM
Last Name:HOF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3737 W. WALNUT
Mailing Address - Street 2:P.O. 1353
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-1353
Mailing Address - Country:US
Mailing Address - Phone:479-246-1700
Mailing Address - Fax:479-631-2629
Practice Address - Street 1:3737 W. WALNUT
Practice Address - Street 2:P.O. 1353
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-1353
Practice Address - Country:US
Practice Address - Phone:479-246-1700
Practice Address - Fax:479-631-2629
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-4723207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1011450001Medicaid
ARD84155Medicare UPIN
AR52403Medicare ID - Type Unspecified