Individual
MRS. SARAH E HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
100 SPRADLIN FARM DR, CHRISTIANSBURG, VA 24073-1161
(540) 381-2745
Mailing address
100 SPRADLIN FARM DR, CHRISTIANSBURG, VA 24073-1161
(540) 381-2745
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
99063548A
IN
363AS0400X
Surgical Physician Assistant
Primary
99063548A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000901493
BCBS
IN
01
—
P01504490
RR MEDICARE
IN
Enumeration date
09/04/2014
Last updated
03/23/2018
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