Individual
MR. JACOB KEITH HOFFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6322 S 3000 E STE 140, COTTONWOOD HEIGHTS, UT 84121-3555
(801) 733-9924
Mailing address
6322 S 3000 E STE 140, COTTONWOOD HEIGHTS, UT 84121-3555
(801) 733-9924
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10818363-1206
UT
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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