Individual
DR. ETHEL MARIE HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12502 WILLOWBROOK RD, SUITE 550, CUMBERLAND, MD 21502-6491
(301) 723-3940
(301) 723-3941
Mailing address
109 RAYLOC DR, HANCOCK, MD 21750-1518
(301) 678-5187
(301) 678-5797
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0041811
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007288800008
—
PA
01
—
21-1849
MEDICARE FQHC PTAN
—
05
—
3810005772
—
WV
05
—
482501200
—
MD
01
—
D0041811
LICENSE
MD
Enumeration date
10/12/2005
Last updated
05/20/2016
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