Organization
ANN Q BOGARD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN Q BOGARD MD (OWNER)
(336) 768-1037
Entity
Organization
Contact information
Practice address
755 HIGHLAND OAKS DR, STE 204, WINSTON SALEM, NC 27103-7106
(336) 768-1037
(336) 768-9141
Mailing address
755 HIGHLAND OAKS DR, STE 204, WINSTON SALEM, NC 27103-7106
(336) 768-1308
(336) 659-9210
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
23650
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8916422
—
NC
Enumeration date
11/22/2006
Last updated
07/08/2013
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