Individual
DR. JEFFREY C HOOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4131 NW 122ND ST, OKLAHOMA CITY, OK 73120-8869
(405) 775-9350
(405) 775-9360
Mailing address
PO BOX 6904, EDMOND, OK 73083-6904
(405) 775-9350
(405) 775-9360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23268
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100170880A
—
OK
01
—
P00326789
RR MEDICARE
OK
Enumeration date
04/26/2006
Last updated
07/14/2015
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