MEDICARE: DAVID E HOOVER 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
1	2085R0202X	Diagnostic Radiology Physician	35037776	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669477428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID E HOOVER MD

Provider Business Mailing Address
First Line	:	146 STONE OAK BLVD
Second Line	:
City	:	HOLLAND
State	:	OH
Zip	:	43528-9248
Country	:	US
Telephone Number	:	419-861-0701
Fax Number	:	419-861-0733

Provider Business Practice Location Address
First Line	:	2213 CHERRY ST
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43608-2603
Country	:	US
Telephone Number	:	419-251-4340
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	07/08/2007

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Directions to “ DAVID E HOOVER MD” Practice Location

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