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DALE A HOGEN MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1851324024

Individual Registrant:
 DALE A HOGEN MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
101 E. 3RD ST  NEWELL, SD 57760 US
Tel: 605-456-2462  Fax: 605-456-1001

Contact information for business:
353 FAIRMONT BLVD ATTEN MEDICAL STAFF SERVICES RAPID CITY, SD 57701-6000 US
Tel: 605-719-7109  Fax: 605-719-1027

Registration Information:
NPI: 1851324024
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
SD1180
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
SDSD1180

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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