Individual
DR. MARK DEANE HOPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6666A
WY
207X00000X
Orthopaedic Surgery Physician
6666A
WY
Other
Enumeration date
10/22/2005
Last updated
12/05/2007
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