Individual
BENJAMIN REAVES HOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
819 WHITFIELD DR, NATCHITOCHES, LA 71457-6134
(318) 214-4546
(318) 448-9897
Mailing address
3704 NORTH BLVD, STE 1, PO BOX 6284, ALEXANDRIA, LA 71307-6284
(318) 442-8399
(318) 448-9897
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
027078
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053384
—
LA
01
—
1679777189
NPI
LA
Enumeration date
06/11/2007
Last updated
05/09/2011
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