Provider Demographics
NPI:1154784023
Name:HOOKE, THOMAS GENE (DPM)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:GENE
Last Name:HOOKE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 CANYON RD STE 2
Mailing Address - Street 2:
Mailing Address - City:BULLHEAD CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86442-8624
Mailing Address - Country:US
Mailing Address - Phone:928-444-1491
Mailing Address - Fax:928-444-1330
Practice Address - Street 1:2500 CANYON RD STE 2
Practice Address - Street 2:
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86442-8624
Practice Address - Country:US
Practice Address - Phone:928-444-1491
Practice Address - Fax:928-444-1330
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901002634213ES0103X
AZ000929213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery