Individual
MR. BEN G. HOFFMAN
Active
Individual
MR. BEN G. HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
311
WY
363AM0700X
Medical Physician Assistant
Primary
337
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000094953
BLUE CROSS BILLINGS MT
MT
01
—
000094963
BLUE CROSS BUTTE MT
MT
01
—
000097533
BCBS PIN
MT
01
—
312239
BLUE CROSS SHERIDAN WY
WY
01
—
312270
BLUE CROSS CODY WY
WY
05
—
4301357
—
MT
01
—
4308759
MDCD PIN
MT
01
—
810511516011
EBMS
MT
Enumeration date
11/16/2005
Last updated
02/14/2012
Update your record
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