Healthcare Provider Details

I. General information

NPI: 1477871002
Provider Name (Legal Business Name): ROBERT JOHN HOFFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2010
Last Update Date: 06/06/2022
Certification Date: 06/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 INDIANA ST STE 200
GOLDEN CO
80401-5027
US

IV. Provider business mailing address

4350 WADSWORTH BLVD STE 401
WHEAT RIDGE CO
80033-4638
US

V. Phone/Fax

Practice location:
  • Phone: 303-940-8200
  • Fax:
Mailing address:
  • Phone: 303-940-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberDR.0068370
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: