Individual
DR. ROBERT W BOGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
975 RYLAND ST STE 100, RENO, NV 89502-1669
(775) 982-5000
(775) 982-5225
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-4596
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2766
NV
207QS0010X
Sports Medicine (Family Medicine) Physician
DO2766
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14660517
CAQH
NV
Enumeration date
04/29/2016
Last updated
01/05/2022
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