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Individual
DR. THOMAS PAUL BOGAARD
Active
Individual
DR. THOMAS PAUL BOGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G21222
CA
208800000X
Urology Physician
G21222
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G21220
CCS
CA
05
—
00G21220
—
CA
01
—
05D0726009
CLIA NO
CA
01
—
RHD113967
X-RAY LC
CA
Enumeration date
06/22/2006
Last updated
03/07/2023
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