Individual
MRS. EVELYN BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
JOHN L. MCCELLAN MEMORIAL VETERANS HOSPITAL, 4300 WEST 7TH STREET, LITTLE ROCK, AR 72205
(501) 257-4650
Mailing address
1020 SUNSET SALEM DRIVE, BENTON, AR 72019
(501) 316-0705
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R19863
AR
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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