Individual
MR. PATRICK J HOPPERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10000 BRECKSVILLE RD, BRECKSVILLE, OH 44141-3204
(440) 526-3030
Mailing address
238 MAIN ST, BEREA, OH 44017-2505
(440) 526-3030
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50000853
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50000853
STATE REGISTRATION
OH
Enumeration date
10/04/2006
Last updated
07/08/2007
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