Individual
MATTHEW GRANT HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4809 AMBASSADOR CAFFERY PKWY STE 410, LAFAYETTE, LA 70508-8802
(337) 470-4881
(337) 470-4882
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 470-4881
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
346256
LA
208600000X
Surgery Physician
67290
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
09/08/2025
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