Individual
DR. AMANDA BROOKE HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 FAIRFAX AVE, SUITE 445, NORFOLK, VA 23507-1914
(757) 446-8920
(757) 446-5242
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-8920
(757) 446-5242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101260666
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063616555
CORVEL
VA
05
—
1063616555
—
NC
05
—
1063616555
—
VA
Enumeration date
06/11/2007
Last updated
02/24/2017
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