Provider Demographics
NPI:1932450079
Name:HOFFMAN, JORDAN (NMD)
Entity Type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8314 E HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-1733
Mailing Address - Country:US
Mailing Address - Phone:480-221-3225
Mailing Address - Fax:
Practice Address - Street 1:8314 E HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-1733
Practice Address - Country:US
Practice Address - Phone:480-221-3225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12-1329175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath