Healthcare Provider Details

I. General information

NPI: 1932450079
Provider Name (Legal Business Name): JORDAN HOFFMAN NMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2012
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2992 N MILLER RD UNIT 210B
SCOTTSDALE AZ
85251-7942
US

IV. Provider business mailing address

2992 N MILLER RD UNIT 210B
SCOTTSDALE AZ
85251-7942
US

V. Phone/Fax

Practice location:
  • Phone: 480-221-3225
  • Fax:
Mailing address:
  • Phone: 480-221-3225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number12-1329
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: