Healthcare Provider Details

I. General information

NPI: 1861409310
Provider Name (Legal Business Name): THOMAS A HOFFELD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 10/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3530 E SPAULDING AVE
PUEBLO CO
81008-2209
US

IV. Provider business mailing address

23500 US HIGHWAY 160
WALSENBURG CO
81089-9524
US

V. Phone/Fax

Practice location:
  • Phone: 719-296-9000
  • Fax: 719-296-9001
Mailing address:
  • Phone: 719-738-5144
  • Fax: 719-738-5138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberDR.0041170
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number41170
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: