Provider Demographics
NPI:1558376954
Name:HOGENSON, EILUNED ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:EILUNED
Middle Name:ANNE
Last Name:HOGENSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1566 LA RUE
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-6631
Mailing Address - Country:US
Mailing Address - Phone:907-455-4063
Mailing Address - Fax:907-452-8935
Practice Address - Street 1:1919 LATHROP ST
Practice Address - Street 2:STE 222
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-5942
Practice Address - Country:US
Practice Address - Phone:907-456-8197
Practice Address - Fax:907-456-8192
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2017-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AK5178207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology