Individual
DR. AGATHA MICHAELA BOGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4207 E COTTON CENTER BLVD # CC10, PHOENIX, AZ 85040-8893
(602) 648-8900
Mailing address
PO BOX 840294, DALLAS, TX 75284-0294
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
50316
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125-050905
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
50316
AZ
Other
Enumeration date
12/23/2008
Last updated
03/21/2018
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