Ryan M Hogan OD

NPI 1629180120 - Optometrist - 152W00000X

NPI Details
NPI 1629180120
Gender Male
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
216 MAIN STREET
WATERVILLE ME, 04901, US
Phone (207) 872-2797
Fax (207) 872-2793
Business Location
PO BOX 1438
WATERVILLE ME, 04903, US
Phone (207) 872-2797
Fax (207) 872-2793
Toxanomy
Taxonomy Code 152W00000X
License State Maine
License Number OPT878
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According to our database, Ryan M Hogan OD NPI is 1629180120, taxonomy code is 152W00000X and license number is OPT878, license state is located at Maine. Ryan M Hogan OD physically located at 216 Main Street, Waterville ME, 04901. NPI Number Ryan M Hogan OD has the Individual type.

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1629180120 NPI number is provided on an as is basis without warranty of any kind. 1629180120 is maintained by the National Plan & Provider Enumeration System. The contents of Ryan M Hogan OD are for informational purposes only.