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Individual

PAUL F BOGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 MEDICAL CENTER DR, STE 101, NEWTON, KS 67114-9017
(316) 283-2800
(316) 283-3575
Mailing address
700 MEDICAL CENTER DR, STE 101, NEWTON, KS 67114-9017
(316) 283-2800
(316) 283-3575

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0418813
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100205180F
KS
01
111178029
PTAN
KS
Enumeration date
03/08/2006
Last updated
03/07/2023
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