Individual
MR. JOHN GREGORY HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
550 CLUB LANE, CONWAY, AR 72034-3681
(501) 513-0300
Mailing address
550 CLUB LN, STE 1, CONWAY, AR 72034-3681
(501) 329-8069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018
LICENSE #
AR
Enumeration date
08/14/2006
Last updated
09/14/2016
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