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Individual

DR. MARY BETH HOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1600 MEDICAL CENTER DR STE 3500, HUNTINGTON, WV 25701-3655
(304) 691-1300
Mailing address
1524 PINTO LN FL 3, LAS VEGAS, NV 89106-4195
(702) 992-6868
(702) 992-6860

Taxonomy

Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
12265
NV
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
18282
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0109785000
WV
Enumeration date
10/16/2006
Last updated
12/09/2021
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