Provider Demographics
NPI:1629130133
Name:HOKI, ROBERT SHAWN (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:SHAWN
Last Name:HOKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 WHEAT RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-6804
Mailing Address - Country:US
Mailing Address - Phone:801-888-1508
Mailing Address - Fax:
Practice Address - Street 1:2086 N 1700 W
Practice Address - Street 2:SUITE C
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-1164
Practice Address - Country:US
Practice Address - Phone:801-927-1558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6993740-1205208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics