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Individual

MR. RICHARD WESLEY HOOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
21 ABMC, NAVAL HOSPITAL, CAMP PENDLETON, CA 92055-5191
(760) 725-2194
Mailing address
21 ABMC, NAVAL HOSPITAL BOX 555191, CAMP PENDLETON, CA 92055-5191
(760) 725-2194

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
11/23/2010
Last updated
11/23/2010
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