Individual
MARY P HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1005 DIVISION ST, PRESCOTT, AZ 86301-1601
(928) 776-8428
(928) 776-8057
Mailing address
1005 DIVISION STREET, PRESCOTT, AZ 86301
(928) 776-8428
(928) 776-8057
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
53387
AZ
Other
Enumeration date
08/11/2005
Last updated
07/21/2022
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