Individual
JEFFREY GARDNER HOPKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32 W 1ST S, REXBURG, ID 83440-1810
(208) 356-8883
(208) 656-0292
Mailing address
32 W 1ST S, REXBURG, ID 83440-1810
(208) 356-8883
(208) 656-0292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-6910
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003732000
—
ID
Enumeration date
08/16/2006
Last updated
07/24/2024
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