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NPI Code Detail

MEDICARE: WILLIAM ROBERT HOFFMAN M.D.

MEDICARE: WILLIAM ROBERT HOFFMAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician29663KY
22083X0100XOccupational Medicine Physician29663KY

General Provider Information

NPI Number : 1295892438
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM ROBERT HOFFMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 950248
Second Line :
City : LOUISVILLE
State : KY
Zip : 40295-0248
Country : US
Telephone Number : 502-489-5730
Fax Number : 502-489-5733
Provider Business Practice Location Address
First Line : 11630 COMMONWEALTH DR
Second Line : SUITE 300,400
City : LOUISVILLE
State : KY
Zip : 40299-2300
Country : US
Telephone Number : 502-267-6292
Fax Number : 502-267-7104
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 03/07/2023

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