Individual
DR. AMANDA REGINA BOGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13001 E 17TH PL, AURORA, CO 80045-2570
(720) 777-6133
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
DR.0056851
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2013
Last updated
08/16/2019
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