Individual
JORDAN HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4150 5TH ST, RAPID CITY, SD 57701-6022
(605) 755-4300
Mailing address
4150 5TH ST, RAPID CITY, SD 57701-6022
(605) 755-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1049
SD
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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