Provider Demographics
NPI:1942282058
Name:HOFFMAN, DANIEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:A
Last Name:HOFFMAN
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 1:7800 E ORCHARD RD
Mailing Address - Street 2:STE 340
Mailing Address - City:GREENWOOD VLG
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2550
Mailing Address - Country:US
Mailing Address - Phone:303-741-4800
Mailing Address - Fax:303-741-2244
Practice Address - Street 1:7800 E ORCHARD RD
Practice Address - Street 2:SUITE 340
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2583
Practice Address - Country:US
Practice Address - Phone:303-741-4800
Practice Address - Fax:303-741-2244
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO196452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01196450Medicaid
CO01196450Medicaid
COE93475Medicare UPIN