Individual
MOLLY ELIZABETH BOGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1000 LANGWORTHY ST, DUBUQUE, IA 52001-7365
(563) 584-3490
(563) 584-3177
Mailing address
1000 LANGWORTHY ST, DUBUQUE, IA 52001-7365
(563) 584-3490
(563) 584-3177
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102031
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
11/02/2021
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