Provider Demographics
NPI:1609883081
Name:HOOVER, AARON ZACHARY (MD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:ZACHARY
Last Name:HOOVER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:TIMNATH
Mailing Address - State:CO
Mailing Address - Zip Code:80547
Mailing Address - Country:US
Mailing Address - Phone:970-673-1155
Mailing Address - Fax:970-673-4747
Practice Address - Street 1:6801 WEST 20TH SUITE 208
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634
Practice Address - Country:US
Practice Address - Phone:970-673-1155
Practice Address - Fax:970-673-4747
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2016-06-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO49733207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO45021023Medicaid