Healthcare Provider Details

I. General information

NPI: 1629130133
Provider Name (Legal Business Name): ROBERT SHAWN HOKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 07/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2086 N 1700 W SUITE C
LAYTON UT
84041-1164
US

IV. Provider business mailing address

416 WHEAT RIDGE CIR
KAYSVILLE UT
84037-6804
US

V. Phone/Fax

Practice location:
  • Phone: 801-927-1558
  • Fax:
Mailing address:
  • Phone: 801-888-1508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number6993740-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: