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NPI Code Detail

MEDICARE: ANDREW HINMAN HOOPER MD

MEDICARE: ANDREW HINMAN HOOPER MD
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
1207Q00000XFamily Medicine PhysicianG59811CA

General Provider Information

NPI Number : 1053404525
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW HINMAN HOOPER MD
Provider Business Mailing Address
First Line : 1800 27TH ST
Second Line :
City : ARCATA
State : CA
Zip : 95521-5006
Country : US
Telephone Number : 707-826-7846
Fax Number : 707-826-7845
Provider Business Practice Location Address
First Line : 770 10TH ST
Second Line :
City : ARCATA
State : CA
Zip : 95521-6210
Country : US
Telephone Number : 707-826-8610
Fax Number : 707-826-8623
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 02/05/2020

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