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NPI Code Detail

MEDICARE: DR. JOHN N HOFFMAN M.D.

MEDICARE: DR. JOHN N 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
12085R0202XDiagnostic Radiology Physician23523AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00336077OTHERAZRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12Z1493OTHERAZHEALTH NET OF ARIZONA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4AZ0209410OTHERAZBCBSAZ

General Provider Information

NPI Number : 1689643173
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN N HOFFMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 27340
Second Line :
City : PHOENIX
State : AZ
Zip : 85061-7340
Country : US
Telephone Number : 602-943-9200
Fax Number : 602-216-3000
Provider Business Practice Location Address
First Line : 4700 N 51ST AVE
Second Line : SUITE 2
City : PHOENIX
State : AZ
Zip : 85031-1237
Country : US
Telephone Number : 623-849-3800
Fax Number : 623-846-6060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 11/02/2007

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Directions to “ DR. JOHN N HOFFMAN M.D.” Practice Location

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