Provider Demographics
NPI:1750378980
Name:RALPH E HOPKINS MD PC
Entity type:Organization
Organization Name:RALPH E HOPKINS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:307-856-5758
Mailing Address - Street 1:705 E WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:WY
Mailing Address - Zip Code:82501-4452
Mailing Address - Country:US
Mailing Address - Phone:307-856-5758
Mailing Address - Fax:307-856-5759
Practice Address - Street 1:705 E WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:WY
Practice Address - Zip Code:82501-4452
Practice Address - Country:US
Practice Address - Phone:307-856-5758
Practice Address - Fax:307-856-5759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYW21554Medicare PIN