Individual
MRS. ELIZABETH MICHELE HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
113 ROCK CREEK RD, MORRILTON, AR 72110-1556
(479) 970-3823
Mailing address
113 ROCK CREEK DRIVE, MORRILTON, AR 72110
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1057
AR
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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