Individual
DR. ADAM ALEXANDER BOGAART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1645 STATE ROAD Z, SUITE 100, PEVELY, MO 63070-2102
(636) 479-6888
(636) 479-6088
Mailing address
1645 STATE ROAD Z, SUITE 100, PEVELY, MO 63070-2102
(636) 479-6888
(636) 479-6088
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004020948
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143663
UNITED
MO
01
—
2233510
FIRST HEALTH
MO
01
—
235360
GHP
MO
01
—
342010901
GREAT WEST HEALTHCARE
MO
01
—
342010901B0G
MERCY
MO
01
—
682626
HEALTH LINK
MO
Enumeration date
11/02/2006
Last updated
10/07/2011
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