Individual
DYLAN HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 UNIVERSITY PL, LAMONI, IA 50140-1641
(641) 784-5392
(641) 784-5039
Mailing address
1 UNIVERSITY PL, LAMONI, IA 50140-1641
(641) 784-5392
(641) 784-5039
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000792
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000792
IOWA DEPARTMENT OF PUBLIC HEALTH
IA
Enumeration date
04/13/2017
Last updated
04/13/2017
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