Doctor Name: | MR. TIMOTHY ALBERT HOOVER |
NPI Number: | 1336256429 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | |
Business Practice Address: | Tf 2-9 In Bn Unit 15101 Apo Ap 96224 Apo Ap, SOUTH KOREA - 96224-5101 |
Business Phone Number: | 01022033331 |
Business Fax Number: | |
Mailing Address: | Tf 2-9 In Bn Unit 15101 Apo Ap 96224, APO AP |
State: | SOUTH KOREA |
Postal Code: | 96224-5101 |
Phone Number: | 01022033331 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |