Mackenzie Ross Hofford, MD

General Practice Physician · Saint Louis, MO

Individual Active NPI

NPI number 1750778320

Practice location

4901 Forest Park Ave
Div Im General Med, Ste 241
Saint Louis, MO 63108-1495
Phone
(314) 362-5060
Fax
(314) 996-3230

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NPI record

NPI
1750778320
Entity type
Individual (Type 1)
Enumeration date
April 22, 2015
Last updated
April 17, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 2020013462 MO
Internal Medicine Physician 207R00000X 2020013462 MO

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone
(314) 362-5060
Fax
(314) 996-3230

About Dr. Hofford

Mackenzie Ross Hofford, MD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108-1495. The NPI number 1750778320 was assigned on April 22, 2015 and the record was last updated on April 17, 2025.

Dr. Hofford lists 2 licenses in the registry: #2020013462 (MO) for General Practice Physician; #2020013462 (MO) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mackenzie Ross Hofford, MD?

The NPI number is 1750778320.

What is the phone number of Dr. Hofford?

The phone number listed for the practice location is (314) 362-5060.

Where is Dr. Hofford located?

4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108-1495.

What is the taxonomy code for Dr. Hofford?

The primary taxonomy code is 208D00000X – General Practice Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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