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NPI Code Detail

MEDICARE: JAMES ORVEL HOOPES PAC

MEDICARE: JAMES ORVEL HOOPES PAC
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
1363AM0700XMedical Physician AssistantPAC656NV
2363A00000XPhysician Assistant101650-1206UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689645129
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES ORVEL HOOPES PAC
Provider Business Mailing Address
First Line : PO BOX 15
Second Line :
City : NEOLA
State : UT
Zip : 84053-0015
Country : US
Telephone Number : 435-353-4116
Fax Number :
Provider Business Practice Location Address
First Line : 210 W 300 N # 75-3
Second Line :
City : ROOSEVELT
State : UT
Zip : 84066-2336
Country : US
Telephone Number : 435-722-6130
Fax Number : 435-725-2033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2006
Last Update Date : 10/28/2014

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Directions to “ JAMES ORVEL HOOPES PAC” Practice Location

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