Individual
PETER D HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1727 W FRYE RD STE 210, CHANDLER, AZ 85224-5298
(480) 728-7564
(480) 728-2253
Mailing address
3200 N CENTRAL AVE, SUITE 900, PHOENIX, AZ 85012-2425
(602) 406-3729
(602) 798-9412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22821
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365024
—
AZ
Enumeration date
08/30/2006
Last updated
07/22/2019
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