Individual
MR. JOHN BREDIN BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
1661 SOQUEL DR STE D, SANTA CRUZ, CA 95065-1709
(831) 460-6041
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
22924
CA
Other
Enumeration date
05/10/2013
Last updated
12/04/2019
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