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NPI Code Detail

MEDICARE: MR. TIMOTHY ALBERT HOOVER PA-C

MEDICARE:  MR. TIMOTHY ALBERT HOOVER  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 Assistant

General Provider Information

NPI Number : 1336256429
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TIMOTHY ALBERT HOOVER PA-C
Provider Business Mailing Address
First Line : TF 2-9 IN BN UNIT 15101 APO AP 96224
Second Line :
City : APO AP
State : SOUTH KOREA
Zip : 96224-5101
Country : KR
Telephone Number : 01022033331
Fax Number :
Provider Business Practice Location Address
First Line : MADIGAN ARMY MEDICAL CENTER 9040A JACKSON AVE
Second Line :
City : JOINT BASE LEWIS MCCHORD
State : WA
Zip : 98431-0001
Country : US
Telephone Number : 253-967-9590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 07/21/2022

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Directions to “ MR. TIMOTHY ALBERT HOOVER PA-C” Practice Location

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