Individual
GATES E HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1955 W MAIN ST, SALEM, VA 24153-3109
(540) 387-0441
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101049395
VA
207KA0200X
Allergy Physician
0101049395
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184137
PROVIDER ID
VA
01
—
317478
SOUTHERN HEALTH SERVICES
VA
Enumeration date
06/23/2006
Last updated
09/24/2025
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