Individual
MARK P HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
806 DELAMAR AVE NW, ALBUQUERQUE, NM 87107-5122
(505) 377-6808
Mailing address
806 DELAMAR AVE NW, ALBUQUERQUE, NM 87107-5122
(505) 377-6808
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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