Individual
MR. DOUGLAS WINSTON HOGGATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
502 N KIMBALL PL, BOISE, ID 83704-0608
(208) 377-1900
(208) 377-1905
Mailing address
9483 W SHELBORNE DR, BOISE, ID 83709-5597
(208) 377-1900
(208) 377-1905
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT-1548
ID
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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