Healthcare Provider Details

I. General information

NPI: 1427197466
Provider Name (Legal Business Name): THOMAS RAY HOFFMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 10/20/2023
Certification Date: 10/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 W SILVER ST
BUTTE MT
59701-1518
US

IV. Provider business mailing address

711 W SILVER ST
BUTTE MT
59701-1518
US

V. Phone/Fax

Practice location:
  • Phone: 406-444-7530
  • Fax:
Mailing address:
  • Phone: 406-444-7530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number12090
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: