Individual
HERBERT C. HOOVER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
804 GRANDVIEW DR, WELLSPAN SURGICAL SPECIALISTS, EPHRATA, PA 17522
(717) 466-2500
Mailing address
804 GRANDVIEW DR STE 2, EPHRATA, PA 17522-1681
(717) 466-2500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01064871A
IN
208600000X
Surgery Physician
Primary
MD055401L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015088420006
—
PA
Enumeration date
06/05/2006
Last updated
10/30/2023
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