MEDICARE: RONALD STEPHEN HOFFLANDER MD

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	208600000X	Surgery Physician	9075	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669468021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD STEPHEN HOFFLANDER MD

Provider Business Mailing Address
First Line	:	3201 S MARYLAND PKWY
Second Line	:	SUITE 601
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2441
Country	:	US
Telephone Number	:	702-894-4440
Fax Number	:	702-894-9917

Provider Business Practice Location Address
First Line	:	3201 S MARYLAND PKWY
Second Line	:	SUITE 601
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2441
Country	:	US
Telephone Number	:	702-894-4440
Fax Number	:	702-894-9917

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

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	08/11/2023

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