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Individual
DR. TRACEY O'NEAL HOOKER
Active
Individual
DR. TRACEY O'NEAL HOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34006990
OH
207Q00000X
Family Medicine Physician
Primary
72733
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000522471
ANTHEM BCBS
OH
05
—
2188734
—
OH
05
—
5179573
—
MI
01
—
810547599075
CARESOURCE
OH
Enumeration date
04/04/2006
Last updated
11/10/2023
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