Individual
DR. SCOTT IRWIN BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5221 HWY 95, SUITE 10, FORT MOHAVE, AZ 86426-9244
(928) 788-3668
(928) 788-3670
Mailing address
5221 HWY 95, SUITE 10, FORT MOHAVE, AZ 86426-9244
(928) 788-3668
(928) 788-3670
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0417
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
E3499
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000E34990
BLUE SHIELD
CA
05
—
452540
—
AZ
01
—
AZ0194650
BLUE CROSS BLUE SHIELD
AZ
05
—
XPD000850
—
CA
Enumeration date
12/30/2005
Last updated
07/07/2020
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