Individual
BRUCE J HOOKERMAN
Active
Individual
BRUCE J HOOKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
31696
MO
207ND0900X
Dermatopathology Physician
31696
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100861
HEALTHLINK
—
05
—
202820213
—
MO
01
—
20867
BCBS OF MO
—
01
—
72155018
RAILROAD MEDICARE PALMETT
—
01
—
96698
UNITED HEALTHCARE
—
01
—
CS4712
RAILROAD MEDICARE PALMETT
—
Enumeration date
11/27/2006
Last updated
05/28/2008
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