Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRUCE J HOOKERMAN, MD
ActiveDermatology · BRIDGETON, MO
Registration Details
- NPI Number
- 1396811105
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 27, 2006 (19.39937060552 yrs)
- Last Updated
- May 28, 2008
- Licenses
-
31696 (MO)31696 (MO)
Practice Information
- Address
-
12105 BRIDGETON SQUARE DRIVEBRIDGETON, MO, 630442616Browse MO providers · Browse ZIP 63044
- Phone
- 3142912588
- Fax
- 3142914104
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatopathology
Other Dermatology Providers in BRIDGETON, MO
| Name | Credential | NPI |
|---|---|---|
| LISA B RING | MD | 1104871599 |
| MICHAEL JOHN HESSELER | M.D. | 1982043162 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.