Individual
DAVID KENT HOEGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 WALL ST, POTEAU, OK 74953-4433
(918) 647-8161
(918) 635-3308
Mailing address
PO BOX 1148, POTEAU, OK 74953-1148
(918) 647-8161
(918) 635-3308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1627
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100678480A
—
OK
Enumeration date
09/29/2009
Last updated
09/29/2009
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