| Doctor Name: | DR. JEFFREY JOSEPH HAWKER |
| NPI Number: | 1972718229 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 96-00365 |
| Business Practice Address: | 516 E Nizhoni Blvd Gallup, NM - 873015748 |
| Business Phone Number: | 5057221000 |
| Business Fax Number: | 5402241933 |
| Mailing Address: | 1970 Roanoke Blvd, SALEM |
| State: | VA |
| Postal Code: | 241536404 |
| Phone Number: | 5409822463 |
| Fax Number: | 5402241933 |
| NPI Enumeration Date: | 05/11/2007 |
| NPI Last Update Date: | 11/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 96-00365 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |