Individual
DR. DOUGLAS R HOGOBOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
301 ANDREWS AVE, FORT RUCKER, AL 36362-5333
(800) 261-7193
Mailing address
301 ANDREWS AVE, FORT RUCKER, AL 36362-5333
(800) 261-7193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1144
NE
2083A0100X
Aerospace Medicine Physician
Primary
1144
NE
2083X0100X
Occupational Medicine Physician
1144
NE
Other
Enumeration date
07/09/2012
Last updated
07/03/2025
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