Organization
SOUTH PUGET SOUND NEUROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK J HOGAN III DO (PRESIDENT/PHYSICIAN)
(253) 284-4488
Entity
Organization
Contact information
Practice address
5006 CENTER STREET, SUITE U, TACOMA, WA 98409-2314
(253) 284-4488
(253) 272-4771
Mailing address
5006 CENTER STREET, SUITE U, TACOMA, WA 98409-2314
(253) 284-4488
(253) 272-4771
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
OP00000793
WA
2084N0400X
Neurology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G8801180
—
WA
Enumeration date
11/09/2009
Last updated
04/19/2023
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