Healthcare Provider Details

I. General information

NPI: 1215126867
Provider Name (Legal Business Name): JULIE A HOFFMANN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE A STANSLOSKI M.D.

II. Dates (important events)

Enumeration Date: 10/19/2007
Last Update Date: 07/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3880 N GRANT AVE SUITE 140
LOVELAND CO
80538-8433
US

IV. Provider business mailing address

1627 E 18TH ST
LOVELAND CO
80538-4209
US

V. Phone/Fax

Practice location:
  • Phone: 970-203-0047
  • Fax: 970-663-0321
Mailing address:
  • Phone: 970-663-0135
  • Fax: 970-461-1422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number44140
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: