Individual
ROGER HOFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1314 PETERS CREEK RD NW, ROANOKE, VA 24017-2500
(540) 562-5700
Mailing address
836 PENDLETON DR, SALEM, VA 24153-2662
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-033345
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080141042
MEDICARE RAILROAD
VA
05
—
5639131
—
VA
05
—
5639140
—
VA
Enumeration date
11/04/2005
Last updated
08/24/2011
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