# DR. SCOTT IRWIN BOGGS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1467439331
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 0417 | AZ | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E3499 | CA | — |

## Other

- **Enumeration date:** 12/30/2005
- **Last updated:** 07/07/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000E34990 | BLUE SHIELD | CA |
| 05 | — | 452540 | — | AZ |
| 01 | — | AZ0194650 | BLUE CROSS BLUE SHIELD | AZ |
| 05 | — | XPD000850 | — | CA |