Individual
STEPHANIE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-0111
Mailing address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-0111
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
014035
ME
Other
Enumeration date
03/06/2007
Last updated
12/28/2009
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