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Individual

GEORGE ROBERT HOPKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
106 19TH AVE, SUITE 103, MOLINE, IL 61265-3700
(309) 779-7050
(309) 779-7055
Mailing address
106 19TH AVE, SUITE 103, MOLINE, IL 61265-3700
(309) 779-7050
(309) 779-7055

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001640
IA
363A00000X
Physician Assistant
Primary
085-001052
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
970016964
RR MEDICARE
Enumeration date
02/07/2006
Last updated
05/15/2012
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