Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 31846 | AZ |
NPI | 1063440444 |
---|---|
Provider Name | Sanford Roy Hoffman |
First Address | Sun City West, AZ 85375-4436 |
Second Address | Sun City West, AZ 85375-4436 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 20/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020539454 | BLUE CROSS BLUE SHIELD (01) | AZ |
020539454 | DEPT OF LABOR-FECA (01) | AZ |
020539454 | HUMANA (01) | AZ |
020539454 | PACIFICARE (01) | AZ |
020539454 | SECURE HORIZONS (01) | AZ |
020539454 | SUN HEALTH CORPORATION (01) | AZ |
020539454 | UNITED HEALTHCARE (01) | AZ |
040016859 | RRB (01) | AZ |
1063440444 | BCBS (01) | AZ |
818932 | AHCCCS (01) | AZ |
D01415 | (02) |