Individual
NATHANIEL ENOCH BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 GOETHALS DR, RICHLAND, WA 99352-3300
(541) 908-5800
Mailing address
560 GAGE BLVD, STE 203, RICHLAND, WA 99352-8650
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/08/2016
Last updated
09/08/2016
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