Individual
DR. TAMARA VANN HOPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1241 W. STADIUM BLVD., JEFFERSON CITY, MO 65109-6023
(573) 556-7718
(573) 556-1701
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 556-5771
(573) 636-9756
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
112841
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203932405
—
MO
Enumeration date
06/22/2005
Last updated
06/28/2023
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