Healthcare Provider Details

I. General information

NPI: 1649276718
Provider Name (Legal Business Name): ALAN LEO HOFFMANN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 11/30/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2641 SW WANAMAKER RD SUITE 301
TOPEKA KS
66614-4969
US

IV. Provider business mailing address

6021 SW 29TH ST SUITE A PMB 358
TOPEKA KS
66614-6200
US

V. Phone/Fax

Practice location:
  • Phone: 785-408-5228
  • Fax: 785-783-8026
Mailing address:
  • Phone: 785-408-5228
  • Fax: 785-783-8026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number04-13760
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: