Individual
DR. BRUCE DONALD HOPPER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5843 RISING SUN AVE, PHILADELPHIA, PA 19120-1144
(215) 437-0128
(215) 857-0419
Mailing address
PO BOX 746723, ATLANTA, GA 30374-6723
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
MD421377
PA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
MD421377
PA
Other
Enumeration date
05/19/2006
Last updated
04/28/2025
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