Individual
DR. JEFFREY JOSEPH HAWKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
(540) 224-1933
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 224-1933
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101245759
VA
2085R0202X
Diagnostic Radiology Physician
96-00365
NC
2085R0204X
Vascular & Interventional Radiology Physician
0101245759
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
96-00365
NC
208D00000X
General Practice Physician
96-00365
NC
Other
Enumeration date
05/11/2007
Last updated
11/12/2015
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