Individual
DR. UNKNOWN BOGAZOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
433 W LIBERTY ST, MEDINA, OH 44256-2221
(330) 721-4616
(330) 721-8965
Mailing address
433 W LIBERTY ST, MEDINA, OH 44256-2221
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
2789
OH
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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