Individual
BRADLEY HOGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-9149
(814) 881-3654
Mailing address
116 BEAU DR, EDINBORO, PA 16412-3202
(814) 881-3654
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
116810
PA
Other
Enumeration date
04/14/2017
Last updated
05/12/2020
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