Individual
DR. CHARLES IVERSON HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6339 MACK RD, SACRAMENTO, CA 95823-4655
(916) 454-2345
(916) 457-2667
Mailing address
1860 HOWE AVE STE 440, SACRAMENTO, CA 95825-1098
(916) 569-8484
(916) 256-2214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A5310
CA
Other
Enumeration date
08/20/2006
Last updated
03/07/2022
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