Organization
CEREBRAL MEDICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BOGGS MD (PRESIDENT)
(415) 830-5946
Entity
Organization
Contact information
Practice address
112 SW 7TH ST # 3C, TOPEKA, KS 66603-3858
(415) 830-5946
Mailing address
2093 PHILADELPHIA PIKE # 9898, CLAYMONT, DE 19703-2424
(415) 830-5946
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
02/27/2024
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