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Individual
DR. MARC NICHOLAS BOGGY
Active
Individual
DR. MARC NICHOLAS BOGGY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40876
AZ
208000000X
Pediatrics Physician
77028
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40876
MEDICAL LICENSE
AZ
01
—
77028
TRAINING PERMIT
AZ
Enumeration date
12/17/2007
Last updated
06/26/2025
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