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NPI Code Detail

MEDICARE: DR. RANDALL G HOFFMAN D.O.

MEDICARE:  DR. RANDALL G HOFFMAN  D.O.
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
1207Q00000XFamily Medicine PhysicianDR.0036225CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619932134
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RANDALL G HOFFMAN D.O.
Provider Business Mailing Address
First Line : 41 STATE HIGHWAY 67
Second Line :
City : WOODLAND PARK
State : CO
Zip : 80863-5008
Country : US
Telephone Number : 719-776-4780
Fax Number : 719-686-8863
Provider Business Practice Location Address
First Line : 41 STATE HIGHWAY 67
Second Line :
City : WOODLAND PARK
State : CO
Zip : 80863-5008
Country : US
Telephone Number : 719-776-4780
Fax Number : 719-686-8863
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 02/05/2026

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Directions to “ DR. RANDALL G HOFFMAN D.O.” Practice Location

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