Individual
JASON MICHAEL HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 N TAYLOR ST, GUNNISON, CO 81230-2208
(970) 641-1456
Mailing address
711 N TAYLOR ST, GUNNISON, CO 81230-2208
(970) 641-1456
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0061211
CO
207P00000X
Emergency Medicine Physician
E-10380
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
11/08/2018
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