Provider Demographics
NPI:1477871242
Name:HOGAN, CHRISTOPHER W (CRNA)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:W
Last Name:HOGAN
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Gender:M
Credentials:CRNA
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Mailing Address - Street 1:1400 W 4TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COFFEYVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:67337-3306
Mailing Address - Country:US
Mailing Address - Phone:620-252-1581
Mailing Address - Fax:620-252-1592
Practice Address - Street 1:750 NE 13TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104
Practice Address - Country:US
Practice Address - Phone:405-271-5351
Practice Address - Fax:405-271-8695
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2016-04-04
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Provider Licenses
StateLicense IDTaxonomies
MO2005027078367500000X
OKR0094985367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered