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Individual

DR. DOUGLAS LEE BOGGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S., PHARM.D.

Taxonomy

Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
18190
MD
1835P1300X
Psychiatric Pharmacist
41917
TX

Other

Enumeration date
07/01/2005
Last updated
01/19/2010
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