Individual
PAUL SAMUEL BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9109 MENDENHALL MALL RD STE 5D, JUNEAU, AK 99801-7136
(907) 463-3602
(907) 463-3605
Mailing address
9109 MENDENHALL MALL RD STE 5D, JUNEAU, AK 99801-7136
(907) 463-3602
(907) 463-3605
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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