Individual
CHRISTINE MARIE BOGARDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
403 KENDALL DR, LAMAR, CO 81052-3953
(719) 336-7005
(719) 336-7026
Mailing address
401 KENDALL DR, LAMAR, CO 81052-3993
(719) 336-7005
(719) 336-7026
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0057631
CO
Other
Enumeration date
09/07/2011
Last updated
03/10/2021
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