Individual
MR. ALLEN M BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRS
Contact information
Practice address
526 CANTON RD STE 201, AKRON, OH 44312-2527
(330) 354-8684
Mailing address
526 CANTON RD STE 201, AKRON, OH 44312-2527
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0001716
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001716
—
OH
Enumeration date
06/02/2020
Last updated
06/02/2020
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