Healthcare Provider Details

I. General information

NPI: 1952373672
Provider Name (Legal Business Name): DANIEL J HOHMAN DO, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050A 2ND ST SE
KIRTLAND AFB NM
87117-5522
US

IV. Provider business mailing address

7259 S BINGHAM JUNCTION BLVD
MIDVALE UT
84047-4860
US

V. Phone/Fax

Practice location:
  • Phone: 505-846-3200
  • Fax: 505-846-3930
Mailing address:
  • Phone: 800-453-3030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO4002
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License Number0102201037
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: