Provider Demographics
NPI:1164662417
Name:HOEFLER, ANGELA SUSANNE (CCP)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:SUSANNE
Last Name:HOEFLER
Suffix:
Gender:F
Credentials:CCP
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:SUSANNE
Other - Last Name:FINNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCP
Mailing Address - Street 1:2200 PHILADELPHIA DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45406-1840
Mailing Address - Country:US
Mailing Address - Phone:937-279-9777
Mailing Address - Fax:937-279-9332
Practice Address - Street 1:2200 PHILADELPHIA DR
Practice Address - Street 2:SUITE 301
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45406-1840
Practice Address - Country:US
Practice Address - Phone:937-279-9777
Practice Address - Fax:937-279-9332
Is Sole Proprietor?:No
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist