MEDICARE: RALPH E HOPKINS MD PC

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
1	208800000X	Urology Physician

General Provider Information

NPI Number	:	1750378980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RALPH E HOPKINS MD PC

Provider Business Mailing Address
First Line	:	705 E WASHINGTON AVE
Second Line	:
City	:	RIVERTON
State	:	WY
Zip	:	82501-4452
Country	:	US
Telephone Number	:	307-856-5758
Fax Number	:	307-856-5759

Provider Business Practice Location Address
First Line	:	705 E WASHINGTON AVE
Second Line	:
City	:	RIVERTON
State	:	WY
Zip	:	82501-4452
Country	:	US
Telephone Number	:	307-856-5758
Fax Number	:	307-856-5759

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RALPH E HOPKINS
Credential	:	MD
Telephone Number	:	307-856-5758

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	11/26/2007

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