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Individual

MICHAEL ANDREW HOGUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
920 S BRYANT AVE, SUITE 100, EDMOND, OK 73034-5797
(405) 341-4238
(405) 340-0269
Mailing address
920 S BRYANT AVE, SUITE 100, EDMOND, OK 73034-5797
(405) 341-4238
(405) 340-0269

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
24243
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200056860A
OK
Enumeration date
10/17/2005
Last updated
01/07/2011
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