Individual
JEFFREY W BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3202 COLBY AVE, SUITE E, EVERETT, WA 98201-4324
(425) 259-0855
Mailing address
3202 COLBY AVE, SUITE E, EVERETT, WA 98201-4324
(425) 259-0855
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000514
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0114987
LABOR AND INDUSTRY
WA
05
—
1086362
—
WA
01
—
P00065056
RAILROAD MEDICARE
WA
01
—
PO00000514
STATE LICENSE NUMBER
WA
Enumeration date
06/08/2006
Last updated
07/08/2010
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