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NPI Code Detail

MEDICARE: DAN HOAG, D.O., PLC

MEDICARE: DAN HOAG, D.O., PLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1982777553
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAN HOAG, D.O., PLC
Provider Business Mailing Address
First Line : 20715 E OCOTILLO RD
Second Line : SUITE 102
City : QUEEN CREEK
State : AZ
Zip : 85142-6118
Country : US
Telephone Number : 480-987-0987
Fax Number :
Provider Business Practice Location Address
First Line : 20715 E OCOTILLO RD
Second Line : SUITE 102
City : QUEEN CREEK
State : AZ
Zip : 85142-6118
Country : US
Telephone Number : 480-987-0987
Fax Number :
Authorized Official
Title or Position : CEO
Name : DANEIL B HOAG
Credential : D.O.
Telephone Number : 480-987-0987
Provider Enumeration Date : 11/15/2006
Last Update Date : 07/18/2011

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Directions to “DAN HOAG, D.O., PLC ” Practice Location

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