Individual
STEVEN BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 448-5893
(901) 448-5540
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
14821
SC
207L00000X
Anesthesiology Physician
255832
NY
207L00000X
Anesthesiology Physician
Primary
47944
TN
207L00000X
Anesthesiology Physician
MD27580
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03263150
—
NY
05
—
148218
—
SC
Enumeration date
09/29/2005
Last updated
10/17/2025
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