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Individual

JAMIE ELLEN HOOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
4611 E. SHEA BLVD., SUITE 120, PHOENIX, AZ 85028-4255
(602) 441-3845
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
2939
AZ
363A00000X
Physician Assistant
Primary
2939
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
841652
AZ
05
970633
AZ
Enumeration date
07/17/2006
Last updated
01/24/2022
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