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Individual

DR. MICHAEL STEPHEN BOGARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
8929 UNIVERSITY CENTER LN STE 210, SAN DIEGO, CA 92122-1054
(858) 703-1000
(858) 703-1001
Mailing address
PO BOX 13061, LA JOLLA, CA 92039-3061
(714) 465-7064
(858) 703-1001

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
20A17716
CA

Other

Enumeration date
06/25/2018
Last updated
04/07/2026
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