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Individual

DR. RAY MICHAEL BOGITCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
660 S EUCLID AVE, BOX 8111, SAINT LOUIS, MO 63110-1010
(314) 362-5000
Mailing address
6955 DARTMOUTH AVE, SAINT LOUIS, MO 63130-3133
(314) 726-1074

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
04-39589
KS
2084N0400X
Neurology Physician
2003024214
MO
2084N0400X
Neurology Physician
Primary
CDRH.0057893
CO

Other

Enumeration date
05/23/2007
Last updated
02/13/2024
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