Individual
ROSARIO WALTER BOGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
131 MEDICAL PARK RD, 308, MOORESVILLE, NC 28117-8522
(704) 662-0876
(704) 662-0875
Mailing address
146 MEDICAL PARK RD, STE 108, MOORESVILLE, NC 28117-8529
(704) 662-0877
(704) 662-0875
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
087329
PA
Other
Enumeration date
06/23/2011
Last updated
05/12/2016
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