Provider Demographics
NPI:1962520080
Name:HOOPES, DAVID JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOHN
Last Name:HOOPES
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:16918 DOVE CANYON RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-3445
Mailing Address - Country:US
Mailing Address - Phone:937-367-3966
Mailing Address - Fax:858-649-5099
Practice Address - Street 1:16918 DOVE CANYON RD
Practice Address - Street 2:SUITE 103
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-3445
Practice Address - Country:US
Practice Address - Phone:937-367-3966
Practice Address - Fax:858-649-5099
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2017-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC1280632085R0001X
OH0927102085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC128063OtherMEDICAL LICENSE
CACA121033Medicare UPIN