Basic Information
| Provider Information | |||||||||
| NPI: | 1053404525 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOOPER | ||||||||
| FirstName: | ANDREW | ||||||||
| MiddleName: | HINMAN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1800 27TH ST | ||||||||
| Address2: | |||||||||
| City: | ARCATA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 955215006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7078267846 | ||||||||
| FaxNumber: | 7078267845 | ||||||||
| Practice Location | |||||||||
| Address1: | 770 10TH ST | ||||||||
| Address2: | |||||||||
| City: | ARCATA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 955216210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7078268610 | ||||||||
| FaxNumber: | 7078268623 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/02/2006 | ||||||||
| LastUpdateDate: | 02/05/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/05/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | G59811 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.