Healthcare Provider Details

I. General information

NPI: 1780744839
Provider Name (Legal Business Name): ROBERT JAMES HOOVER M.D., M.S.L.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 06/09/2020
Certification Date: 06/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 DENNISTON ST APT 3
PITTSBURGH PA
15206-4451
US

IV. Provider business mailing address

419 DENNISTON ST APT 3
PITTSBURGH PA
15206-4451
US

V. Phone/Fax

Practice location:
  • Phone: 614-403-3187
  • Fax:
Mailing address:
  • Phone: 614-403-3187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberMD044884L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: