Organization
PATRICK J. HOGAN III, D.O.
Active
Other names
Puget Sound Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA C MARICLE (OFFICE MANAGER)
(253) 627-3547
Entity
Organization
Contact information
Practice address
2201 S 19TH ST, SUITE 200, TACOMA, WA 98405-2962
(253) 627-3547
(253) 272-4771
Mailing address
2201 S 19TH ST, SUITE 200, TACOMA, WA 98405-2962
(253) 627-3547
(253) 272-4771
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031178
—
WA
01
—
13162
LABOR & INDUSTRIES
WA
Enumeration date
01/26/2007
Last updated
11/17/2009
Update your record
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