IndividualActive
Gary Hoffman, M.D.
NPI 1194045252 · Pediatrics Physician · Ketchum, ID
Provider details
- NPI number
- 1194045252
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- M5780 (ID)
Practice location
235 Spur Lane
202
Ketchum, ID 83340-1529
Phone: (208) 725-5522
Fax: (208) 725-5522
Mailing address
Po Box 1529
Ketchum, ID 83340-1529
Registry dates
- Enumerated
- 2010-06-10
- Last updated
- 2010-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.