Individual
TOM J HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AMBULANCE
Contact information
Practice address
101 W AVE D, CIMARRON, KS 67835
(620) 855-7731
Mailing address
PO BOX 568, CIMARRON, KS 67835-0568
(620) 855-7731
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
0690
KS
Other
Enumeration date
03/13/2007
Last updated
10/02/2008
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