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Individual

DR. JOSEPH R BOGGESS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1008 MEDICAL CENTER DR, POWDERLY, KY 42367-5463
(270) 338-9929
(270) 338-1756
Mailing address
1008 MEDICAL CENTER DR, POWDERLY, KY 42367-5463
(270) 338-9929
(270) 338-1756

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13879
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64138795
KY
Enumeration date
01/17/2006
Last updated
07/08/2007
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