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General NPI Number Information
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NPI Number | 1104808187
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Entity Type | Individual
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Provider Name | BEN G. HOFFMAN PAC
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Gender | Male
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | 2820 CENTRAL AVE
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City | BILLINGS
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State | MT
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Zip | 59102-8624
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Country | US
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Telephone | 406-252-8346
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Fax |
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Provider Business Mailing Address
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Address Line | 2820 CENTRAL AVE A
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City | BILLINGS
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State | MT
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Zip | 59102-8624
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Country | US
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Telephone | 406-252-8346
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 337
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 311
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License Number State | WY
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