Individual
DR. DARRELL K. BOGGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1001 CURTIS PRICE WAY, CHARLESTON, WV 25311-1824
(304) 926-2200
(304) 926-2238
Mailing address
1001 CURTIS PRICE WAY, CHARLESTON, WV 25311-1824
(304) 926-2200
(304) 926-2238
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1567
WV
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
1567
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001719575
BLUE CROSS BLUE SHIELD
—
05
—
0055315000
—
WV
01
—
5064588
AETNA
—
Enumeration date
01/10/2006
Last updated
01/28/2016
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