Individual
MRS. JETTE V.C. HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
355 UNION BLVD STE 300, LAKEWOOD, CO 80228-1508
(720) 915-5343
(720) 615-4812
Mailing address
355 UNION BLVD STE 300, LAKEWOOD, CO 80228-1508
(720) 915-5343
(720) 615-4812
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
71874
CT
207N00000X
Dermatology Physician
Primary
CDRH.0070974
CO
207NS0135X
Procedural Dermatology Physician
CDRH.0070974
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029514
KAISER COMMERCIAL NUMBER
CO
Enumeration date
03/30/2018
Last updated
06/20/2024
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