Healthcare Provider Details

I. General information

NPI: 1366632317
Provider Name (Legal Business Name): SCOTT D HOFFER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2007
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5425 E BELL RD STE 150
SCOTTSDALE AZ
85254-6010
US

IV. Provider business mailing address

5425 E BELL RD STE 150
SCOTTSDALE AZ
85254-6010
US

V. Phone/Fax

Practice location:
  • Phone: 602-493-9800
  • Fax: 602-493-2526
Mailing address:
  • Phone: 602-493-9800
  • Fax: 602-493-2526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5219
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: