Healthcare Provider Details

I. General information

NPI: 1013461151
Provider Name (Legal Business Name): ALAN GD HOFFMAN MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2016
Last Update Date: 08/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 JUBILEE ST
DUNCAN BC
V9L 1W7
CA

IV. Provider business mailing address

160 JUBILEE ST
DUNCAN BC
V9L 1W7
CA

V. Phone/Fax

Practice location:
  • Phone: 250-758-0060
  • Fax: 250-758-0063
Mailing address:
  • Phone: 250-758-0060
  • Fax: 250-758-0063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number14007
License Number StateZZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: