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Individual

BERNARD J BOGARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15525 POMERADO ROAD, SUITE E3, POWAY, CA 92064-2427
(858) 592-6644
(858) 592-6393
Mailing address
15525 POMERADO ROAD, SUITE E3, POWAY, CA 92064-2427
(858) 592-6644
(858) 592-6393

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G52175
CA

Other

Enumeration date
08/09/2006
Last updated
07/08/2007
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