Healthcare Provider Details

I. General information

NPI: 1033285788
Provider Name (Legal Business Name): RICHARD ALLEN HOFFMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 SOUTH PARKER RD
AURORA CO
80014-1602
US

IV. Provider business mailing address

4700 BOW MAR DRIVE
LITTLETON CO
80123-1445
US

V. Phone/Fax

Practice location:
  • Phone: 303-750-2082
  • Fax: 303-750-6313
Mailing address:
  • Phone: 303-798-6995
  • Fax: 303-750-6313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number16365
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: