Dan Hoag, D.o., Plc | |
20715 E Ocotillo Rd Suite 102 Queen Creek AZ 85142-6118 | |
(480) 987-0987 | |
Not Available |
Full Name | Dan Hoag, D.o., Plc |
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Speciality | Family Medicine |
Location | 20715 E Ocotillo Rd, Queen Creek, Arizona |
Authorized Official Name and Position | Daneil B Hoag (CEO) |
Authorized Official Contact | 4809870987 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dan Hoag, D.o., Plc 20715 E Ocotillo Rd Suite 102 Queen Creek AZ 85142-6118 Ph: (480) 987-0987 | Dan Hoag, D.o., Plc 20715 E Ocotillo Rd Suite 102 Queen Creek AZ 85142-6118 Ph: (480) 987-0987 |
NPI Number | 1982777553 |
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Provider Enumeration Date | 11/15/2006 |
Last Update Date | 07/18/2011 |
Medicare PECOS PAC ID | 9931091717 |
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Medicare Enrollment ID | O20040326000552 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982777553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Daniel B Hoag |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255403853 PECOS PAC ID: 8628960416 Enrollment ID: I20050312000012 |
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