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NPI Code Detail

MEDICARE: THOMAS GENE HOOKE DPM

MEDICARE:   THOMAS GENE HOOKE  DPM
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
1213ES0103XFoot & Ankle Surgery Podiatrist5901002634MI
2213ES0103XFoot & Ankle Surgery Podiatrist000929AZ

General Provider Information

NPI Number : 1154784023
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS GENE HOOKE DPM
Provider Business Mailing Address
First Line : 2500 CANYON RD STE 2
Second Line :
City : BULLHEAD CITY
State : AZ
Zip : 86442-8624
Country : US
Telephone Number : 928-444-1491
Fax Number : 928-444-1330
Provider Business Practice Location Address
First Line : 2500 CANYON RD STE 2
Second Line :
City : BULLHEAD CITY
State : AZ
Zip : 86442-8624
Country : US
Telephone Number : 928-444-1491
Fax Number : 928-444-1330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2016
Last Update Date : 10/21/2020

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Directions to “ THOMAS GENE HOOKE DPM” Practice Location

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