Provider Demographics
NPI:1497873681
Name:HOGANS-MURPHY, DOROTHY MAE
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:MAE
Last Name:HOGANS-MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17637 CALLE DE AMIGOS
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92551-6351
Mailing Address - Country:US
Mailing Address - Phone:760-486-0539
Mailing Address - Fax:760-288-3752
Practice Address - Street 1:19531 MCLANE STREET STE B
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-2952
Practice Address - Country:US
Practice Address - Phone:760-288-7943
Practice Address - Fax:760-288-3752
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor