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NPI Code Detail

MEDICARE: MR. JAMES ADAM HOOVER M.A.O.M., DIPL. O.M

MEDICARE: MR. JAMES ADAM HOOVER M.A.O.M., DIPL. O.M
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
1171100000XAcupuncturistACA.200020LA

General Provider Information

NPI Number : 1689997629
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES ADAM HOOVER M.A.O.M., DIPL. O.M
Provider Business Mailing Address
First Line : 2445 E MILTON AVE
Second Line :
City : YOUNGSVILLE
State : LA
Zip : 70592-5346
Country : US
Telephone Number : 337-857-3313
Fax Number :
Provider Business Practice Location Address
First Line : 2445 E MILTON AVE
Second Line :
City : YOUNGSVILLE
State : LA
Zip : 70592-5346
Country : US
Telephone Number : 337-857-3313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2010
Last Update Date : 03/04/2010

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