Individual
DR. MICHAEL0 ROY HOPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2550 LAWLOR RD, FAIRBANKS, AK 99709-6458
(907) 455-4725
Mailing address
1307 WINDFALL WAY, FAIRBANKS, AK 99709-6035
(907) 455-6158
(907) 452-1329
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
A247
AK
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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