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Individual

CASSIDY HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1601 E 19TH AVE, SUITE 6300, DENVER, CO 80218-1216
(303) 869-2182
(303) 869-1906
Mailing address
1601 E 19TH AVE, SUITE 6300, DENVER, CO 80218-1216
(303) 869-2182
(303) 869-1906

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2138
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1068333
NCCPA
CO
Enumeration date
10/14/2008
Last updated
10/14/2008
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