Individual
DR. PHILIP L HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 WEST TIETAN, WALLA WALLA, WA 99362
(509) 525-3720
(509) 522-1593
Mailing address
55 WEST TIETAN, WALLA WALLA CLINIC, WALLA WALLA, WA 99362
(509) 525-3720
(509) 522-1593
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25226
CO
207R00000X
Internal Medicine Physician
Primary
TD60506751
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01252268
—
CO
Enumeration date
12/16/2005
Last updated
09/15/2014
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