Individual
DR. WILLARD JOSEPH HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12020 N NEWPORT HWY, SPOKANE, WA 99218-1655
(509) 444-0004
(866) 894-5888
Mailing address
PO BOX 1233, VERADALE, WA 99037-1233
(866) 894-5888
(866) 894-5888
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3485
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8908268
MEDICARE PTAN
WA
Enumeration date
02/02/2006
Last updated
04/13/2024
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