Healthcare Provider Details

I. General information

NPI: 1144550864
Provider Name (Legal Business Name): RICHARD EDMUND HOFFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2009
Last Update Date: 07/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7655 E 4TH AVE
DENVER CO
80230-6502
US

IV. Provider business mailing address

7655 E 4TH AVE
DENVER CO
80230-6502
US

V. Phone/Fax

Practice location:
  • Phone: 303-343-0833
  • Fax:
Mailing address:
  • Phone: 303-343-0833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number20184
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: