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Individual

DR. WILLIAM R HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5315 DELHI AVE, CINCINNATI, OH 45238-5214
(513) 922-2335
(513) 922-4454
Mailing address
5315 DELHI AVE, CINCINNATI, OH 45238-5214
(513) 922-2335
(513) 922-4454

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1707
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000012371
BLUE CROSS/BLUE SHIELD
OH
05
0318043
OH
01
1287600001
MEDICARE DURABLE ID NUMBE
OH
01
27-00262
EVERCARE,UNITEDHELATHCARE
OH
01
27000546
UNITED HEALTHCARE
OH
01
311164051 00
WORKERS COMPENSATION
OH
01
648840
AETNA
OH
Enumeration date
09/26/2005
Last updated
07/17/2007
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