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NPI Code Detail

MEDICARE: STEPHEN R. HOFFENBERG

MEDICARE: STEPHEN R. HOFFENBERG
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
1207P00000XEmergency Medicine Physician20455CO
2207P00000XEmergency Medicine PhysicianDR.0020455CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1930043929OTHERCORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598748667
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN R. HOFFENBERG
Provider Business Mailing Address
First Line : PO BOX 173862
Second Line :
City : DENVER
State : CO
Zip : 80217-3862
Country : US
Telephone Number : 303-306-7783
Fax Number : 303-306-7753
Provider Business Practice Location Address
First Line : 4567 E. 9TH AVENUE
Second Line :
City : DENVER
State : CO
Zip : 80220-5337
Country : US
Telephone Number : 303-320-2455
Fax Number : 303-306-7753
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 07/18/2015

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Directions to “ STEPHEN R. HOFFENBERG ” Practice Location

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