Provider Demographics
NPI:1427300417
Name:HOFFHINES, WALTER STEPHEN (MD)
Entity type:Individual
Prefix:
First Name:WALTER
Middle Name:STEPHEN
Last Name:HOFFHINES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2636 S KLINE CIR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-2749
Mailing Address - Country:US
Mailing Address - Phone:541-212-3778
Mailing Address - Fax:
Practice Address - Street 1:2636 S KLINE CIR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-2749
Practice Address - Country:US
Practice Address - Phone:541-212-3778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO22373207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology