Individual
MARK R HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1004 SOUTH AVE W, MISSOULA, MT 59801-7909
(406) 546-8327
Mailing address
714 LOCUST ST, MISSOULA, MT 59802-3722
(406) 546-8327
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
226
MT
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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