Individual
DR. MICHAEL SCOTT BOGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-3281
(605) 385-2424
Mailing address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-3281
(605) 385-2424
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2207
CO
Other
Enumeration date
08/30/2005
Last updated
08/21/2007
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