MEDICARE: DR. THOMAS RAY HOFFMAN MD

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
1	2084P0804X	Child & Adolescent Psychiatry Physician	12090	MT

General Provider Information

NPI Number	:	1427197466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS RAY HOFFMAN MD

Provider Business Mailing Address
First Line	:	711 W SILVER ST
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-1518
Country	:	US
Telephone Number	:	406-444-7530
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 W SILVER ST
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-1518
Country	:	US
Telephone Number	:	406-444-7530
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	10/20/2023

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