Individual
SHANNON M. HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13555 W MCDOWELL RD, SUITE 101, GOODYEAR, AZ 85338-2624
(623) 881-9238
(623) 512-4253
Mailing address
13555 W MCDOWELL RD, SUITE 101, GOODYEAR, AZ 85338-2624
(623) 881-9238
(623) 512-4253
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2251
NV
363AM0700X
Medical Physician Assistant
1509
AZ
Other
Enumeration date
03/14/2006
Last updated
03/07/2023
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