Individual
MR. BRYAN N WOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7610 N UNION BLVD STE 150, COLORADO SPRINGS, CO 80920-3800
(719) 434-8810
Mailing address
559 VINCENT ST, SPACE BASE DELTA 1, PETERSON SPACE FORCE BASE, CO 80914
(719) 922-0005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004177
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40533824
—
CO
Enumeration date
12/03/2014
Last updated
11/25/2025
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