Individual
LARRY K HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7171 ROYALTON RD STE 201, NORTH ROYALTON, OH 44133-4818
(440) 816-5950
Mailing address
7171 ROYALTON RD STE 201, NORTH ROYALTON, OH 44133-4818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-004346
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000198462
ANTHEM PIN
OH
01
—
0004078307
AETNA
OH
05
—
0681007
—
OH
01
—
080163399
RAILROAD MEDICARE
OH
01
—
0843940002
DMERC
OH
05
—
2238199
—
OH
01
—
3416527556P00
ANTHEM GROUP
OH
01
—
54279
HIGHMARK
OH
01
—
61280
QUAL CHOICE
OH
Enumeration date
12/22/2005
Last updated
07/21/2015
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