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NPI Code Detail

MEDICARE: BENJAMIN HOGAN

MEDICARE:   BENJAMIN  HOGAN
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1689506750
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN HOGAN
Provider Business Mailing Address
First Line : 5255 N MOONLIGHT CT
Second Line :
City : SALINA
State : KS
Zip : 67401-9294
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1111 W 17TH ST
Second Line :
City : TULSA
State : OK
Zip : 74107-1800
Country : US
Telephone Number : 785-577-3303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ BENJAMIN HOGAN ” Practice Location

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