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Individual

ANTHONY RAY HOOVLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2512 WHEATON WAY, BREMERTON, WA 98310-3399
(360) 782-3700
(360) 782-3797
Mailing address
2512 WHEATON WAY, BREMERTON, WA 98310-3399

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00045941
WA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD00045941
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
205200
LABOR & INDUSTRIES
WA
01
5389HO
REGENCE BLUE SHIELD
01
7639806
AETNA
05
8444218
WA
01
P00309799
RAILROAD MEDICARE
Enumeration date
05/15/2006
Last updated
03/07/2023
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