Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 9025876-1205 | UT |
N | 207X00000X | Orthopaedic Surgeon | MD60332756 | WA |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 9025876-1205 | UT |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD60332756 | WA |
NPI | 1255505582 |
---|---|
Provider Name | Dr. Daniel Matthew Hoopes |
First Address | Provo, UT 84604-3305 |
Second Address | Provo, UT 84604-3305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2008 |
Last Update Date | 14/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0314229 | L&I (01) | WA |
1255505582 | (05) | WA |