Individual provider · Type 1 NPI

Mackenzie Ross Hofford, MD

General Practice Physician · St. Louis, MO

NPI number 1750778320 Active

Practice location

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

Call (314) 362-5060 Map

Fax (314) 996-3230

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X2020013462 (MO)
General Practice Physician Primary 208D00000X2020013462 (MO)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1750778320

Mackenzie Ross Hofford, MD's National Provider Identifier is 1750778320, issued on Apr 22, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.