Provider Demographics
NPI:1669468021
Name:HOFFLANDER, RONALD STEPHEN (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:STEPHEN
Last Name:HOFFLANDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3201 S MARYLAND PKWY
Mailing Address - Street 2:SUITE 601
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-2441
Mailing Address - Country:US
Mailing Address - Phone:702-894-4440
Mailing Address - Fax:702-894-9917
Practice Address - Street 1:3201 S MARYLAND PKWY
Practice Address - Street 2:SUITE 601
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2441
Practice Address - Country:US
Practice Address - Phone:702-894-4440
Practice Address - Fax:702-894-9917
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-21
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV9075208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002018307Medicaid
NV002018307Medicaid
G94867Medicare UPIN