Provider Demographics
NPI:1083441406
Name:HOOVER, JULIE
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:HOOVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9808 E CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74019-0278
Mailing Address - Country:US
Mailing Address - Phone:918-853-9024
Mailing Address - Fax:
Practice Address - Street 1:9808 E CHERRY LN
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74019-0278
Practice Address - Country:US
Practice Address - Phone:918-853-9024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist