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Individual

JAMES ROBERT BOGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4730 COLLEGE DR, VERNON, TX 76384-4009
(940) 552-9901
Mailing address
4730 COLLEGE DR, VERNON, TX 76384-4009
(940) 552-9901

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
25551
OK
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
K1163
TX

Other

Enumeration date
06/25/2007
Last updated
10/14/2009
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