Individual
ADAM BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
128 E APPLE ST, 2ND FLOOR, DAYTON, OH 45409-2902
(937) 208-2004
(937) 208-8828
Mailing address
128 E APPLE ST, 2ND FLOOR, DAYTON, OH 45409-2902
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2017
Last updated
01/25/2022
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