Individual
MR. RICHARD LAWRENCE BOGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NPF
Contact information
Practice address
3634 ELIZABETH ST, RIVERSIDE, CA 92506-2506
(951) 341-8935
Mailing address
11762 DE PALMA RD, SUITE 1 C PMB 57, CORONA, CA 92883-4010
(951) 258-1938
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21270
CA
Other
Enumeration date
08/14/2012
Last updated
09/12/2012
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