Individual
LEO R. BOGGS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-9696
(614) 293-8000
(614) 293-3124
Mailing address
700 ACKERMAN RD SUITE 2120, COLUMBUS, OH 43202
(614) 293-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.058028
OH
207P00000X
Emergency Medicine Physician
38244
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0776889
—
OH
05
—
64957210
—
KY
Enumeration date
07/07/2006
Last updated
08/01/2019
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