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NPI Code Detail

MEDICARE: SCOTT I BOGGS

MEDICARE: SCOTT I BOGGS
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
1213E00000XPodiatrist

General Provider Information

NPI Number : 1427351345
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCOTT I BOGGS
Provider Business Mailing Address
First Line : 5221 S HIGHWAY 95
Second Line : SUITE 10
City : FORT MOHAVE
State : AZ
Zip : 86426-9236
Country : US
Telephone Number : 928-788-3668
Fax Number : 928-788-3670
Provider Business Practice Location Address
First Line : 5221 S HIGHWAY 95
Second Line : SUITE 10
City : FORT MOHAVE
State : AZ
Zip : 86426-9236
Country : US
Telephone Number : 928-788-3668
Fax Number : 928-788-3670
Authorized Official
Title or Position : OWNER
Name : DR. SCOTT I BOGGS
Credential : DPM
Telephone Number : 928-788-3668
Provider Enumeration Date : 12/15/2010
Last Update Date : 12/15/2010

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Directions to “SCOTT I BOGGS ” Practice Location

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