Organization
HOPPER MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WAYNE HOPPER MD (OWNER)
(918) 786-9088
Entity
Organization
Contact information
Practice address
601 S BROADWAY ST, GROVE, OK 74344-3429
(918) 786-9088
(918) 786-9682
Mailing address
601 S BROADWAY ST, GROVE, OK 74344-3429
(918) 786-9088
(918) 786-9682
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16302
OK
Other
Enumeration date
09/16/2006
Last updated
03/03/2008
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