Individual
WALTER J HOOPER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
712 PUTNAM PIKE UNIT 2, CHEPACHET, RI 02814-1404
(401) 484-0424
Mailing address
11 PARIS IRONS RD, NORTH SCITUATE, RI 02857-2838
(401) 484-0424
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01060
RI
Other
Enumeration date
05/10/2018
Last updated
01/02/2024
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