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Individual

MR. MICHAEL DAVID HOGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
4492 FOOTHILLS DR, LOVELAND, CO 80537-3567
(970) 391-2262
(970) 669-7262
Mailing address
2609 ARANCIA DR, FORT COLLINS, CO 80521-4921
(402) 960-4020
(970) 669-7262

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9214
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9214
LISCENCE
CO
Enumeration date
07/27/2006
Last updated
07/08/2007
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