Individual
BYRON MENKING HOGGATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CFNP
Contact information
Practice address
5722 CABIN CREEK ROAD, DAWES, WV 25054
(304) 595-5006
(304) 595-5007
Mailing address
PO BOX 70, DAWES, WV 25054-0070
(304) 595-5006
(304) 595-5007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57688
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810017458
—
WV
Enumeration date
11/01/2006
Last updated
11/30/2012
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