Healthcare Provider Details

I. General information

NPI: 1689643173
Provider Name (Legal Business Name): JOHN N HOFFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 11/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 N 51ST AVE SUITE 2
PHOENIX AZ
85031-1237
US

IV. Provider business mailing address

PO BOX 27340
PHOENIX AZ
85061-7340
US

V. Phone/Fax

Practice location:
  • Phone: 623-849-3800
  • Fax: 623-846-6060
Mailing address:
  • Phone: 602-943-9200
  • Fax: 602-216-3000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number23523
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: