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Individual

CALEB HOPWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-7647
Mailing address
2971 N 3600 E, KIMBERLY, ID 83341-5306

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10094383-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10094383-1205
UTAH PHYSICIAN & SURGEON
UT
01
10094383-8905
UTAH PHYSICIAN/SURGEON CS
UT
Enumeration date
03/31/2015
Last updated
11/04/2021
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