Individual
RYAN BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
72 SENEAK AVE, FRANKLIN FURNACE, OH 45629-8803
(740) 357-6782
Mailing address
72 SENEAK AVE, FRANKLIN FURNACE, OH 45629-8803
(740) 357-6782
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 2534
OH
Other
Enumeration date
11/06/2016
Last updated
11/06/2016
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