Individual
MOLLY TRAINOR HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
418 WEST MAIN AVE, BREWSTER, WA 98812
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00043739
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255417051
—
WA
01
—
G8920547
WVC PTAN
WA
01
—
G8920548
WVH PTAN
WA
Enumeration date
10/27/2006
Last updated
06/23/2022
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