| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 07/18/2011 |
| Medicare PECOS PAC ID | 9931091717 |
|---|---|
| Medicare Enrollment ID | O20040326000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982777553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel B Hoag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255403853 PECOS PAC ID: 8628960416 Enrollment ID: I20050312000012 |
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