Provider Demographics
NPI:1649276718
Name:HOFFMANN, ALAN LEO (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LEO
Last Name:HOFFMANN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6021 SW 29TH ST
Mailing Address - Street 2:SUITE A PMB 358
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-6200
Mailing Address - Country:US
Mailing Address - Phone:785-408-5228
Mailing Address - Fax:785-783-8026
Practice Address - Street 1:2641 SW WANAMAKER RD
Practice Address - Street 2:SUITE 301
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-4969
Practice Address - Country:US
Practice Address - Phone:785-408-5228
Practice Address - Fax:785-783-8026
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2013-08-06
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Provider Licenses
StateLicense IDTaxonomies
KS04-13760207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200876040AMedicaid
KS200876040AMedicaid
KSKA2048003Medicare PIN