Individual
DARA E HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
43971 BOSCELL RD, FREMONT, CA 94538-5139
(510) 979-0603
(510) 979-0798
Mailing address
PO BOX 906, SALIDA, CA 95368-0906
(209) 577-9900
(209) 577-1509
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G080103
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G0801030
—
CA
Enumeration date
06/07/2006
Last updated
12/14/2021
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