Individual
DR. TRACY S HOFEDITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 S TELLER STREET, SUITE 250, LAKEWOOD, CO 80226
(303) 232-8383
(303) 232-8207
Mailing address
325 S TELLER STREET, SUITE 250, LAKEWOOD, CO 80226
(303) 232-8383
(303) 232-8207
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29068
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01290683
—
CO
Enumeration date
06/30/2005
Last updated
04/28/2010
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