Doctor Name: | DR. WAYNE E. HOPPE |
NPI Number: | 1205808110 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 18999 |
Business Practice Address: | 291 15th St Burlington, CO - 808071619 |
Business Phone Number: | 7193465301 |
Business Fax Number: | 7193465042 |
Mailing Address: | 291 15th St, BURLINGTON |
State: | CO |
Postal Code: | 808071619 |
Phone Number: | 7193465301 |
Fax Number: | 7193465042 |
NPI Enumeration Date: | 02/03/2006 |
NPI Last Update Date: | 05/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 18999 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |