Individual
HUMBERTO ENRIQUE DE LA TORRE HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1505 E SUNNYSLOPE LN, PHOENIX, AZ 85020-2728
(602) 628-4015
Mailing address
1505 E SUNNYSLOPE LN, PHOENIX, AZ 85020-2728
(602) 628-4015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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