Provider Demographics
NPI:1114950102
Name:HOGGAN, GARY (MD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:
Last Name:HOGGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:600 SOUTH CHERRY STREET
Mailing Address - Street 2:SUITE 1111
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246
Mailing Address - Country:US
Mailing Address - Phone:303-756-1374
Mailing Address - Fax:303-756-1246
Practice Address - Street 1:600 SOUTH CHERRY STREET
Practice Address - Street 2:SUITE 1111
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246
Practice Address - Country:US
Practice Address - Phone:303-756-1374
Practice Address - Fax:303-756-1246
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO441842084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry