Provider Demographics
NPI:1336256429
Name:HOOVER, TIMOTHY ALBERT (PA-C)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:ALBERT
Last Name:HOOVER
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:TF 2-9 IN BN UNIT 15101 APO AP 96224
Mailing Address - Street 2:
Mailing Address - City:APO AP
Mailing Address - State:SOUTH KOREA
Mailing Address - Zip Code:96224-5101
Mailing Address - Country:KR
Mailing Address - Phone:0102-203-3331
Mailing Address - Fax:
Practice Address - Street 1:MADIGAN ARMY MEDICAL CENTER 9040A JACKSON AVE
Practice Address - Street 2:
Practice Address - City:JOINT BASE LEWIS MCCHORD
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-967-9590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2022-07-21
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical