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NPI Code Detail

MEDICARE: MR. SCOTT JOHN HOPKINS PA-C

MEDICARE: MR. SCOTT JOHN HOPKINS PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA731KY
2363A00000XPhysician Assistant10000365AIN

General Provider Information

NPI Number : 1033295019
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SCOTT JOHN HOPKINS PA-C
Provider Business Mailing Address
First Line : 2605 E CREEKS EDGE DR
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47401-8368
Country : US
Telephone Number : 812-355-2300
Fax Number : 812-355-2317
Provider Business Practice Location Address
First Line : 2605 E CREEKS EDGE DR
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47401-8368
Country : US
Telephone Number : 812-355-2300
Fax Number : 812-355-2317
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2006
Last Update Date : 03/23/2011

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Directions to “ MR. SCOTT JOHN HOPKINS PA-C” Practice Location

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