Individual
LEE S HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1067 E TABERNACLE ST, STE 7, ST GEORGE, UT 84770-3163
(143) 563-4760
(143) 567-4009
Mailing address
26 N 60 E, LA VERKIN, UT 84745-5505
(143) 561-9151
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-09
ID
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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