Individual
DR. CLIFTON BOGARDUS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 200-5200
(602) 200-5225
Mailing address
1550 E INDIAN SCHOOL RD, PHOENIX, AZ 85014-4972
(602) 200-5200
(602) 200-5225
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
15092
AZ
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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