Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 0101049395 | VA |
NPI | 1316973118 |
---|---|
Provider Name | Gates E Hoover |
First Address | Salem, VA 24153-3109 |
Second Address | Salem, VA 24153-3109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 07/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
184137 | PROVIDER ID (01) | VA |
317478 | SOUTHERN HEALTH SERVICES (01) | VA |
G07945 | (02) | VA |