Individual
R SCOTT HOFFMAN
Active
Individual
R SCOTT HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
30458
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000068291
BLUE SHIELD
—
01
—
0351
GROUP MEDICARE
—
01
—
180041690
MEDICARE RR
KY
05
—
64304587
—
KY
01
—
CB0333
GROUP RAILROAD MEDICARE
—
Enumeration date
12/13/2005
Last updated
01/05/2011
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