Provider Demographics
NPI:1619903382
Name:HOFFMAN, MICHAEL VOSS (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:VOSS
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2561 S 1560 W STE B
Mailing Address - Street 2:
Mailing Address - City:WOODS CROSS
Mailing Address - State:UT
Mailing Address - Zip Code:84087-2361
Mailing Address - Country:US
Mailing Address - Phone:801-505-0821
Mailing Address - Fax:801-505-0803
Practice Address - Street 1:1030 S MEDICAL DR STE A
Practice Address - Street 2:
Practice Address - City:BRIGHAM CITY
Practice Address - State:UT
Practice Address - Zip Code:84302-3281
Practice Address - Country:US
Practice Address - Phone:435-723-9700
Practice Address - Fax:435-723-9710
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD431842207X00000X
UT6313441-1205207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT6312441-1205OtherLICENSE
PA1972927OtherHIGHMARK BLUE SHIELD
PA7437925OtherAETNA
PA111788OtherGEISINGER HEALTH PLAN
PA2802824OtherUNITEDHEALTHCARE
PAP00436603Medicare PIN
I72258Medicare UPIN
PAP00436603Medicare PIN
PA2802824OtherUNITEDHEALTHCARE
PA821804OtherFIRST PRIORITY HEALTH