Individual
DONALD C BOGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C33861
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C338610
BLUE SHIELD
CA
05
—
00C338610
—
CA
01
—
00C338610E02
CALOPTIMA
—
01
—
050739CA35403
TRAILBLAZER
—
01
—
360002838
RAILROAD MEDICARE
—
Enumeration date
11/29/2005
Last updated
08/15/2008
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