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Individual

DAVID E HOGG

Active
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Individual

DAVID E HOGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7162
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00775706
MISSISSIPPI MEDICAID
MS
05
009928645
AL
05
009928655
AL
05
009930705
AL
01
010033CC76144
SECTION 1011
AL
01
051506904
BLUE CROSS
AL
01
051516903
BLUE CROSS
AL
01
051516905
BLUE CROSS
AL
01
051516906
BLUE CROSS
AL
05
051553770
AL
Enumeration date
06/26/2006
Last updated
07/05/2011
Update your record

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