MEDICARE: DR. RICHARD EDMUND HOFFMAN 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
1	2083P0901X	Public Health & General Preventive Medicine Physician	20184	CO

General Provider Information

NPI Number	:	1144550864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD EDMUND HOFFMAN M.D.

Provider Business Mailing Address
First Line	:	7655 E 4TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80230-6502
Country	:	US
Telephone Number	:	303-343-0833
Fax Number	:

Provider Business Practice Location Address
First Line	:	7655 E 4TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80230-6502
Country	:	US
Telephone Number	:	303-343-0833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/31/2009
Last Update Date	:	07/15/2014

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