Provider Demographics
NPI:1639288798
Name:HOGGARD, TIMO J (MD OB)
Entity Type:Individual
Prefix:
First Name:TIMO
Middle Name:J
Last Name:HOGGARD
Suffix:
Gender:M
Credentials:MD OB
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:226 N 1100 E
Mailing Address - Street 2:SUITE A
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2054
Mailing Address - Country:US
Mailing Address - Phone:801-855-3850
Mailing Address - Fax:801-855-3854
Practice Address - Street 1:226 N 1100 E
Practice Address - Street 2:SUITE A
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2054
Practice Address - Country:US
Practice Address - Phone:801-855-3850
Practice Address - Fax:801-855-3854
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT2719251205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTD1417Medicaid
UT005500301Medicare PIN
UTD1417Medicaid