Individual
DR. PATRICIA HOGAN MORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5571 N GRETNA RD, BRANSON, MO 65616
(417) 243-2300
(417) 243-2381
Mailing address
1662 S ORCHARD CREST AVE, SPRINGFIELD, MO 65807-1066
(417) 350-1895
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36378
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200256010D
—
KS
05
—
241791276
—
MO
Enumeration date
07/13/2005
Last updated
07/11/2018
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