Provider Demographics
NPI:1275663361
Name:HOOPMAN, TODD CHRISTIAN (MD)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:CHRISTIAN
Last Name:HOOPMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:700 W IRONWOOD DR
Mailing Address - Street 2:STE 378
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-4401
Mailing Address - Country:US
Mailing Address - Phone:208-765-1252
Mailing Address - Fax:208-765-1494
Practice Address - Street 1:700 W IRONWOOD DR
Practice Address - Street 2:STE 378
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-4401
Practice Address - Country:US
Practice Address - Phone:208-765-1252
Practice Address - Fax:208-765-1494
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2024-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IDM11202207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease