Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 34.009245 | OH |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | OS017459 | PA |
NPI | 1326368085 |
---|---|
Provider Name | Dr. Bryan Phillip Hooks |
First Address | Hermitage, PA 16148-3180 |
Second Address | Hermitage, PA 16148-3180 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2010 |
Last Update Date | 03/10/2015 |