Individual
MATTHEW BOGOYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OP61071356
WA
2084P0800X
Psychiatry Physician
OS15769
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/17/2016
Last updated
11/04/2020
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