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Organization

CEREBRAL MEDICAL GROUP, A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BOGGS MD (PRESIDENT)
(415) 489-9369
Entity
Organization

Contact information

Practice address
8585 OLD DAIRY RD STE 208, JUNEAU, AK 99801-8094
(415) 403-2156
Mailing address
2093 PHILADELPHIA PIKE # 9898, CLAYMONT, DE 19703-2424
(415) 403-2156
(415) 651-3458

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
10/27/2021
Last updated
10/11/2023
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