Individual
TRACEY ROUS HOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903-2824
(434) 924-0123
(434) 243-3300
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101055296
VA
2080P0202X
Pediatric Cardiology Physician
0101055296
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902904816
—
VA
Enumeration date
09/21/2006
Last updated
10/12/2020
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