Individual
MICHAEL TODD BOGATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9601 BAPTIST HEALTH DR STE 210, LITTLE ROCK, AR 72205-6342
(501) 217-3533
(501) 217-3578
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A129673
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
E12668
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237276001
—
AR
Enumeration date
05/28/2009
Last updated
11/30/2021
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