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Individual
PATRICK BOGARD
Active
Individual
PATRICK BOGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
15641
NE
207ZC0500X
Cytopathology Physician
22053
IA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
15641
NE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
22053
IA
Other
Enumeration date
05/08/2006
Last updated
06/08/2010
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