Individual
MELISSA HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2615
OK
Other
Enumeration date
01/26/2016
Last updated
02/21/2018
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