Organization
PETER SHELBY BOGARD DO
Active
Other names
Bogard Family and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER SHELBY BOGARD D.O. (DOCTOR)
(541) 471-4930
Entity
Organization
Contact information
Practice address
700 SW RAMSEY, SUITE 104, GRANTS PASS, OR 97527-5788
(541) 471-4930
(541) 471-1331
Mailing address
700 SW RAMSEY, SUITE 104, GRANTS PASS, OR 97527-5788
(541) 471-4930
(541) 471-1331
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
DO18557
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058748
—
OR
Enumeration date
02/28/2008
Last updated
03/17/2008
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