Individual
JANETTE RUTH BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1208 E CROSS ST, CENTERVILLE, IA 52544-3501
(641) 856-8651
Mailing address
2156 HIGHWAY S60, SEYMOUR, IA 52590-8508
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
087978
IA
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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