Individual
BENJAMIN PATRICK HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
975 RYLAND ST STE 100, RENO, NV 89502-1669
(775) 982-5000
(775) 982-5225
Mailing address
850 HARVARD WAY, RENO, NV 89502-2055
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1545
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12304690
CAQH
NV
05
—
1811298078
—
NV
Enumeration date
11/04/2010
Last updated
04/26/2019
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