Individual
MRS. GRETA ANN GOODPASTURE HOPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
19 N MAIN CROSS ST, BOWLING GREEN, MO 63334-1643
(573) 324-2111
(573) 324-3057
Mailing address
44871 HIGHWAY WW, VANDALIA, MO 63382-4501
(573) 594-2826
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2005015547
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005015547
STATE OF MISSOURI LICENSE
MO
Enumeration date
12/07/2005
Last updated
08/06/2010
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