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Individual

KEVIN PATRICK BOGART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
301 W 6TH AVE, FAMILY AND INTERNAL MEDICINE CLINIC MC3250, DENVER, CO 80204-5182
(303) 602-8070
(303) 602-8176
Mailing address
301 W 6TH AVE, FAMILY AND INTERNAL MEDICINE CLINIC - MC 3250, DENVER, CO 80204-5182
(303) 602-8070
(303) 602-8176

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3010
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
91323533
CO
Enumeration date
06/18/2010
Last updated
07/13/2011
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