Individual
ABIGAIL DAVIS BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5341 AIRLINE DR, BOSSIER CITY, LA 71111-6710
(318) 935-1820
Mailing address
5341 AIRLINE DR STE 130, BOSSIER CITY, LA 71111-6710
(318) 935-1820
(318) 935-1863
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
12/20/2023
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