Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | PO60211118 | WA |
N | 222Z00000X | Podiatrist | PO60211118 | WA |
N | 213EP1101X | Primary Podiatric Medicine | PO60211118 | WA |
N | 111NR0200X | Radiology | PO60211118 | WA |
N | 213ER0200X | Radiology | PO60211118 | WA |
Y | 213ES0103X | Foot & Ankle Surgery | PO60211118 | WA |
N | 213ES0103X | Foot & Ankle Surgery | SC006067 | PA |
NPI | 1952550295 |
---|---|
Provider Name | Dr. Cody M Hoover |
First Address | Belfast, ME 04915-4483 |
Second Address | Puyallup, WA 98373-7856 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2008 |
Last Update Date | 10/09/2019 |