Individual provider · Type 1 NPI

Lee S. Hogan, PA-C

Medical Physician Assistant · St. George, UT

NPI number 1508962309 Active

Practice location

1067 E Tabernacle St, Ste 7
St. George, UT 84770-3163

Call (143) 563-4760 Map

Fax (143) 567-4009

Mailing address

26 N 60 E
La Verkin, UT 84745-5505

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-09 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1508962309

Lee S. Hogan, PA-C's National Provider Identifier is 1508962309, issued on Sep 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. George, UT. The record was last updated on Jul 8, 2007.