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Organization

SUSAN BOGRAD

Active
Other names
full name Susan Beausoleil Bograd
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUSAN BOGRAD M.D. (OWNER)
(303) 320-1968
Entity
Organization

Contact information

Practice address
3300 E. 1ST AVENUE, SUITE 590, DENVER, CO 80206-5818
(303) 320-1968
(303) 322-2155
Mailing address
3300 E. 1ST AVENUE, SUITE 590, DENVER, CO 80206-5818
(303) 320-1968
(303) 322-2155

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
34363
CO
2084P0800X
Psychiatry Physician
Primary
34363
CO

Other

Enumeration date
11/19/2013
Last updated
11/19/2013
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