Individual
DR. MICHAEL JOHN BOGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1600 W UNIVERSITY BLVD, DURANT, OK 74701-3094
(580) 924-5500
Mailing address
1600 W UNIVERSITY BLVD, DURANT, OK 74701-3094
(580) 924-5500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5140
OK
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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