Individual
SANDRA MARIE BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT (R)(CT)
Contact information
Practice address
200 S FROELICH LN, ABINGDON, IL 61410-1620
(309) 299-9138
Mailing address
200 S FROELICH LN, ABINGDON, IL 61410-1620
(309) 299-9138
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
500493591
IL
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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