Individual
DR. DOUGLAS B BOGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1225
(816) 404-1233
Mailing address
2310 HOLMES ST, SUITE 800, KANSAS CITY, MO 64108-2602
(816) 218-2500
(816) 421-7379
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R7319
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06775060
BCBS OF KC INDIVID #
—
Enumeration date
02/17/2006
Last updated
07/29/2011
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