Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 104199 | CO |
NPI | 1104849207 |
---|---|
Provider Name | Dr. Gary Stephen Hoffman |
First Address | Denver, CO 80230-7098 |
Second Address | Denver, CO 80231-4952 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 08/07/2007 |