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Individual

DAVID STEPHEN BOGDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICAL THERAPIST

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0895
OR
225100000X
Physical Therapist
Primary
PT00003263
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019259
OR
05
1265415004
WA
Enumeration date
11/25/2005
Last updated
11/01/2012
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