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NPI Code Detail

MEDICARE: WALTER W HOOVER M.D.

MEDICARE: WALTER W HOOVER M.D.
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
12083X0100XOccupational Medicine PhysicianMD-022390-EPA

General Provider Information

NPI Number : 1487663993
Entity Type Code : Individual
Provider Name (Legal Business Name) : WALTER W HOOVER M.D.
Provider Business Mailing Address
First Line : 25 HECKEL RD
Second Line :
City : MC KEES ROCKS
State : PA
Zip : 15136-1651
Country : US
Telephone Number : 412-777-6369
Fax Number : 412-777-6751
Provider Business Practice Location Address
First Line : 25 HECKEL RD
Second Line :
City : MC KEES ROCKS
State : PA
Zip : 15136-1651
Country : US
Telephone Number : 412-777-6369
Fax Number : 412-777-6751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 07/08/2007

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