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Individual

SCOTT G BOGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
40 FAIRLAND DR, NITRO, WV 25143-1186
(304) 204-2430
(304) 397-6740
Mailing address
40 FAIRLAND DR, NITRO, WV 25143-1186
(304) 204-2430
(304) 397-6740

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
68576
WV

Other

Enumeration date
08/24/2014
Last updated
08/24/2014
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