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NPI Code Detail

MEDICARE: ANNA ASHFORD BOGAN PA-C

MEDICARE: ANNA ASHFORD BOGAN PA-C
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
1363A00000XPhysician Assistant337716LA

General Provider Information

NPI Number : 1982382032
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA ASHFORD BOGAN PA-C
Provider Business Mailing Address
First Line : 5959 S SHERWOOD FOREST BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-6038
Country : US
Telephone Number : 225-374-1528
Fax Number : 225-765-9196
Provider Business Practice Location Address
First Line : 8300 CONSTANTIN BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3489
Country : US
Telephone Number : 225-374-1528
Fax Number : 225-374-1611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2023
Last Update Date : 01/07/2026

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Directions to “ ANNA ASHFORD BOGAN PA-C” Practice Location

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