Individual
ASHER G BOGDANOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 424-3400
Mailing address
3 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 424-3400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4628
AR
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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